Active NPI
Deborah Ann Isaak-Shapiro, LISW
- Mental Health Counselor
- Beachwood, OH
National Provider Identifier
1891065876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- I.1101660
- Practice address
- 24100 Chagrin Blvd
Beachwood, OH 44122-5535 - Phone
- (440) 903-7965
- Fax
- (216) 464-3229
- NPI assigned
- Jan 6, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | I.1101660 | OH | Primary |
Addresses
Primary practice location
24100 Chagrin Blvd
Beachwood, OH 44122-5535
Mailing address
24100 Chagrin Blvd
Beachwood, OH 44122-5535
Phone (440) 903-7965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0959566 | Medicaid | OH |
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 |
|---|---|---|---|
| I.1101660 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1891065876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24100 CHAGRIN BLVD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225535",
"telephone_number": "440-903-7965",
"fax_number": "216-464-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24100 CHAGRIN BLVD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225535",
"telephone_number": "440-903-7965",
"fax_number": "216-464-3229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAAK-SHAPIRO",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-06",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "I.1101660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0959566",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.