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Shanda I Mroz , LPCC, LICDC, NCC

Counselor - Professional β€’ Cincinnati, OH

Active NPI 1700202744 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

455 Delta Ave Ste 303
Cincinnati, OH 452261127

Call 5135491227 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

455 Delta Ave Ste 303

Cincinnati, OH 452261127

Telephone 5135491227
Organization at the Same NPPES Address or Phone
Unfolding The Lotus Healing Facility NPI 1174394266

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Lawrenceburg, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Psychological And Behavioral Consultants Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shanda Mroz has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Shanda Mroz as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cincinnati and Ohio

562 active clinicians are listed under Counselor - Professional with a practice address in Cincinnati, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cincinnati

4.4% of these 562 clinicians have the CMS telehealth indicator.

11.7% of these 562 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-29
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.2202971
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OH LICDC.161841
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES OH E.2202971
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240829003129

Enrollment State Jurisdiction

OH

PECOS Control ID

9234678558

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Psychological And Behavioral Consultants Llc

2135 Dana Ave, Cincinnati, OH 452071327

Phone: 2164685000

Secondary Practice Locations

20464 Longview Dr

Lawrenceburg, IN 470259019

Phone: 5135491227

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

20 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2026

Counselor (license number reported to NPPES: OH E.2202971)

πŸ“
Updated Practice Location January 04, 2024

Registered at 455 DELTA AVE STE 303, CINCINNATI, OH 452261127 (Tel: 5135491227)

πŸ“
Updated Business Mailing Address January 04, 2024

Registered at 455 DELTA AVE STE 303, CINCINNATI, OH 452261127 (Tel: 5135491227)

πŸ“
Updated Practice Location August 04, 2023

Registered at 6946 HARRISON AVENUE, SUITE 6, CINCINNATI, OH 452477957 (Tel: 5135491227)

πŸ“
Updated Business Mailing Address August 04, 2023

Registered at 6946 HARRISON AVENUE, SUITE 6, CINCINNATI, OH 45247 (Tel: 5135491227)

πŸ‘€
Provider Name / Credentials Updated August 04, 2023

Recorded as SHANDA MROZ, LPCC, LICDC, NCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2023

Counselor (license number reported to NPPES: OH LICDC.161841)

πŸ‘€
Provider Name / Credentials Updated August 14, 2019

Recorded as SHANDA MROZ, LPC, LICDC, NCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2019

Counselor (license number reported to NPPES: OH C.161841)

πŸ‘€
Provider Name / Credentials Updated May 28, 2019

Recorded as SHANDA MROZ, LPC, LCDC III

πŸ‘€
Provider Name / Credentials Updated December 20, 2018

Recorded as SHANDA MROZ, CT, LCDC III

πŸ“
Updated Practice Location November 05, 2018

Registered at 6460 HARRISON AVE, CINCINNATI, OH 452477957 (Tel: 5139414999)

πŸ“
Updated Business Mailing Address November 05, 2018

Registered at 6460 HARRISON AVE, CINCINNATI, OH 452477957 (Tel: 5139414999)

πŸ‘€
Provider Name / Credentials Updated November 05, 2018

Recorded as SHANDA MROZ, LCDC III

βœ…
NPI Profile Active March 14, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 14, 2014

Registered at 7597 BRIDGETOWN ROAD, CINCINNATI, OH 45248 (Tel: 5139414999)

πŸ“
Business Mailing Address (Initial Record) March 14, 2014

Registered at 322 SUNNYSIDE AVE, AURORA, IN 470011524 (Tel: 5139399236)

πŸ‘€
Provider Name / Credentials (Initial Record) March 14, 2014

Recorded as SHANDA MROZ, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2014

Counselor (license number reported to NPPES: OH 140026)

🟒
Initial NPI Registration & Enumeration March 14, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700202744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2014
Last Update: June 29, 2026
Sole Proprietor: No

Other Counselor - Professionals in Cincinnati

All Counselor - Professionals in Cincinnati

Mailing Address

455 Delta Ave Ste 303

Cincinnati, OH 452261127

Phone: 5135491227

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.