Active NPI
Brian Alan Eliason
- Professional Counselor
- Rock Creek, OH
National Provider Identifier
1881323574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 161384
- Practice address
- 2863 State Route 45 N
Rock Creek, OH 44084-9352 - Phone
- (440) 228-1371
- Fax
- (440) 563-3421
- NPI assigned
- Jun 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 161384 | OH | Primary |
Addresses
Primary practice location
2863 State Route 45 N
Rock Creek, OH 44084-9352
Mailing address
PO Box 298
Rock Creek, OH 44084-0298
Phone (440) 228-1371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161384 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenbeigh | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1881323574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 298",
"city": "ROCK CREEK",
"state": "OH",
"postal_code": "440840298",
"telephone_number": "440-228-1371",
"fax_number": "440-563-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2863 STATE ROUTE 45 N",
"city": "ROCK CREEK",
"state": "OH",
"postal_code": "440849352",
"telephone_number": "440-228-1371",
"fax_number": "440-563-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIASON",
"first_name": "BRIAN",
"middle_name": "ALAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "161384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Creek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.