Active NPI
Paul Taller, LPCC
- Counselor
- Independence, OH
National Provider Identifier
1881707180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E0001197
- Practice address
- 6133 Rockside Rd
#207 Rockside Square 2
Independence, OH 44131 - Phone
- (216) 520-5969
- Fax
- (216) 520-5098
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | E0001197 | OH | Primary |
Addresses
Primary practice location
6133 Rockside Rd
#207 Rockside Square 2
Independence, OH 44131
Mailing address
6133 Rockside Rd
#207 Rockside Square 2
Independence, OH 44131
Phone (216) 520-5969
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0001197 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881707180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6133 ROCKSIDE RD",
"address_2": "#207 ROCKSIDE SQUARE 2",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "44131",
"telephone_number": "216-520-5969",
"fax_number": "216-520-5098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6133 ROCKSIDE RD",
"address_2": "#207 ROCKSIDE SQUARE 2",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "44131",
"telephone_number": "216-520-5969",
"fax_number": "216-520-5098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLER",
"first_name": "PAUL",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E0001197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.