Healthcare Provider Details

I. General information

NPI: 1154842391
Provider Name (Legal Business Name): SHEILA RAE PINER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 ACKERMAN BLVD
KETTERING OH
45429-4612
US

IV. Provider business mailing address

4100 ACKERMAN BLVD
KETTERING OH
45429
US

V. Phone/Fax

Practice location:
  • Phone: 937-203-1669
  • Fax: 937-203-1669
Mailing address:
  • Phone: 937-203-1669
  • Fax: 937-795-3345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC1700493
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2001592
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: