Shaina A Duffy, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E1700389 Issued in OH

Practice address

33480 Liberty Pkwy
North Ridgeville, OH 44039-2670

Phone

(440) 732-5252

Fax

(440) 202-6252

NPI assigned

Jun 10, 2014

Last updated

Jun 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Phoenix Counseling Center LLCGroup PAC ID 3577902451, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenix Counseling Center LLC

  • Professional Counselor
  • North Ridgeville, OH
  • NPI 1801309141
  Medicare reassignment Care Compare group NPD Authorized official
• Phoenix Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Ridgeville, OH
  • NPI 1700510781
  NPD (past) Authorized official
• Phoenix Counseling Center LLC

  dba The Phoenix Counseling Center LLC

  • Mental Health Counselor
  • North Ridgeville, OH
  • NPI 1992426050
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1760895445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33480 LIBERTY PKWY",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392670",
            "telephone_number": "440-732-5252",
            "fax_number": "440-202-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33480 LIBERTY PKWY",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392670",
            "telephone_number": "440-732-5252",
            "fax_number": "440-202-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "SHAINA",
        "middle_name": "A",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C 110491",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1700389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marina Dibello
• Nila Disantis
• Discount Drug Mart Inc (Discount Drug Mart #94)
• David Gary Dixon, D.D.S.
• Duber Medical, Inc (Duber Medical)
• Courtney G. Dunfee, M.A.
• John M. Ellis, LISW, LICDC
• Emh Professional Services (EMH Medworks)
• Thomas Michael Evans II
• Alise M Excell, MASSAGE THERAPIST

• Professional Counselor in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.