Penni Sue Schaefer
Counselor, Addiction (Substance Use Disorder) in Ashtabula, OH. Individual provider (NPI-1).
Details
- NPI
- 1154883395
- Entity type
- Individual (NPI-1)
- Name
- Penni Sue Schaefer
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2019
- Certification date
- Nov 6, 2026
- Last updated
- Nov 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.185485 | OH | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | OH | |
| 251B00000X | Case Management | – | – |
Practice location
2801 C CtAshtabula, OH 44004-4577
Phone 440-990-3461 · Fax 440-998-2247
Mailing address
12557 Ravenwood DrChardon, OH 44024-9009
Phone 440-285-3568
Other practice locations
Chardon, OH 44024-1474
Phone 440-214-9124
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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