Georgette Ellen Comisar, PCC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0600217 Issued in OH

Practice address

820 Delta Ave
Cincinnati, OH 45226-1221

Phone

(513) 321-9902

Fax

(513) 533-8851

NPI assigned

Dec 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Georgette Ellen Comisar Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1891978532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HARVARD AVE",
            "city": "TERRACE PARK",
            "state": "OH",
            "postal_code": "451741112",
            "telephone_number": "513-378-5807",
            "fax_number": "513-533-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 DELTA AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452261221",
            "telephone_number": "513-321-9902",
            "fax_number": "513-533-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMISAR",
        "first_name": "GEORGETTE",
        "middle_name": "ELLEN",
        "credential": "PCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0600217",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0600217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGETTE",
            "last_name": "COMISAR",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "credential": "PCC-S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.