Specialty Care Counseling Services LTD
A Medicare group practice based in Warren, OH: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5294787701), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5294787701
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- OH
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050214000023 | OH | Part B Supplier - Clinic/Group Practice | 1972551141 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Specialty Care Counseling Services, LTD
- Mental Health Counselor
- Warren, OH
- NPI 1972551141
-
Specialty Care Counseling Services, LTD
- Community/Behavioral Health Agency
- Warren, OH
- NPI 1184984957
Practice locations
- Warren, OH1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Keith Yale Burger, LISW-LPCC
- Clinical Social Worker
- Cortland, OH
- NPI 1972591998
-
Virginia Renee Daley, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Warren, OH
- NPI 1003195546
-
Ehab LF Sargious, MD
- Specialist
- Warren, OH
- NPI 1619968427
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.