MEDICARE: MS. ORIENTA NICOLE EISON MA, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	E.0500129	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11943425	OTHER	OH	CAQH

General Provider Information

NPI Number	:	1457584583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ORIENTA NICOLE EISON MA, LPCC

Provider Business Mailing Address
First Line	:	1882 ROOSEVELT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-3322
Country	:	US
Telephone Number	:	513-788-1766
Fax Number	:

Provider Business Practice Location Address
First Line	:	1882 ROOSEVELT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-3322
Country	:	US
Telephone Number	:	513-788-1766
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	01/25/2026

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