Active NPI
Stephanie Spisak, M.A.
- Professional Counselor
- Westlake, OH
National Provider Identifier
1952541815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.0600461
- Practice address
- 25000 Center Ridge Rd
Suite 6
Westlake, OH 44145-4105 - Phone
- (440) 892-7034
- Fax
- (440) 250-9013
- NPI assigned
- Mar 4, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.0600461 | OH | Primary |
Addresses
Primary practice location
25000 Center Ridge Rd
Suite 6
Westlake, OH 44145-4105
Mailing address
25000 Center Ridge Rd
Suite 6
Westlake, OH 44145-4105
Phone (440) 892-7034
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.0600461 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1952541815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25000 CENTER RIDGE RD",
"address_2": "SUITE 6",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441454105",
"telephone_number": "440-892-7034",
"fax_number": "440-250-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25000 CENTER RIDGE RD",
"address_2": "SUITE 6",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441454105",
"telephone_number": "440-892-7034",
"fax_number": "440-250-9013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPISAK",
"first_name": "STEPHANIE",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-04",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.0600461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.