Active NPI
Elizabeth Schaller, LPC, ATR
- Professional Counselor
- Cincinnati, OH
National Provider Identifier
1972905180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1700422
- Practice address
- 3333 Burnet Avenue
ML 3014
Cincinnati, OH 45229-3026 - Phone
- (513) 636-4788
- Fax
- (513) 636-4283
- NPI assigned
- Sep 18, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.1400064-CR | OH | |
| Professional Counselor | 101YP2500X | E.1700422 | OH | Primary |
Addresses
Primary practice location
3333 Burnet Avenue
ML 3014
Cincinnati, OH 45229-3026
Mailing address
3333 Burnet Avenue
ML 3014
Cincinnati, OH 45229-3026
Phone (513) 636-4788
Other practice location 1
5400 Edalbert Dr
Cincinnati, OH 45239-7604
Phone (513) 741-3100 ext. 2357
Other practice location 2
434 Scott St
Covington, KY 41011-2342
Phone (859) 291-1121
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 |
|---|---|---|---|
| C.1400064-CR | OH | MD | Counselor |
| E.1700422 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972905180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVENUE",
"address_2": "ML 3014",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4788",
"fax_number": "513-636-4283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVENUE",
"address_2": "ML 3014",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4788",
"fax_number": "513-636-4283"
}
],
"practiceLocations": [
{
"address_1": "5400 Edalbert Dr",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452397604",
"country_code": "US",
"telephone_number": "513-741-3100 x2357",
"fax_number": "513-741-5686",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "434 Scott St",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "KY",
"postal_code": "410112342",
"country_code": "US",
"telephone_number": "859-291-1121",
"fax_number": "859-655-4882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHALLER",
"first_name": "ELIZABETH",
"credential": "LPC, ATR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.1400064-CR",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1700422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.