Active NPI
Charles Douglas Shoaff, LPCC
- Professional Counselor
- Bellaire, OH
National Provider Identifier
1891989265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1507
- Practice address
- 3201 Belmont St
Suite 211
Bellaire, OH 43906-1584 - Phone
- (740) 381-2577
- NPI assigned
- Aug 29, 2007
- 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 | 1507 | WV | Primary |
Addresses
Primary practice location
3201 Belmont St
Suite 211
Bellaire, OH 43906-1584
Mailing address
3201 Belmont St
Suite 211
Bellaire, OH 43906-1584
Phone (740) 381-2577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000570003 | Other | OH | ANTHEM BLUE CROSS AND BLUE SHIELD |
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 |
|---|---|---|---|
| 1507 | WV | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1891989265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 BELMONT ST",
"address_2": "SUITE 211",
"city": "BELLAIRE",
"state": "OH",
"postal_code": "439061584",
"telephone_number": "740-381-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 BELMONT ST",
"address_2": "SUITE 211",
"city": "BELLAIRE",
"state": "OH",
"postal_code": "439061584",
"telephone_number": "740-381-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOAFF",
"first_name": "CHARLES",
"middle_name": "DOUGLAS",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-29",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "1507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD",
"identifier": "000000570003",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellaire, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.