Individual provider Active NPI

Allyson McCarley, LPCC-S

  • Mental Health Counselor
  • Cleveland, OH
National Provider Identifier
1003200296
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1400561 Issued in OH
Practice address
3000 Bridge Ave Ste 4
Cleveland, OH 44113-3086
Phone
(216) 282-3838
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1400561 OH Primary

Addresses

Primary practice location

3000 Bridge Ave Ste 4
Cleveland, OH 44113-3086

Mailing address

1662 Mars Ave
Lakewood, OH 44107-3825
Phone (216) 282-3838

Other practice location 1

8445 Munson Rd
Mentor, OH 44060-2410
Phone (440) 255-1700

Other identifiers 1

IdentifierTypeStateIssuer
2844093MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240127000529 OH Practitioner - Mental Health Counselor 4486007333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pals for HealingGroup PAC ID 2062847973, 3 clinicians

Practice addresses (Care Compare)

24600 Ctr Ridge Rd
Suite 260
Westlake, OH 44145-5679
Phone (330) 518-8334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1400561OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Well Cleveland, LLC Mental Health CurrentSince Sep 13, 2020 Accepting new patients
P.a.L.S. for Healing CurrentSince Jan 1, 2024 Accepting new patients
Flourish Cle LLC Mental Health CurrentSince Jul 2, 2023 Accepting new patients

Locations

3000 Bridge Ave
Ste 4
Cleveland, OH 44113
Phone (216) 282-3838

2000 Auburn Dr
Ste 200
Cleveland, OH 44122
Phone (216) 378-7633

4700 Rockside Rd
Ste 135
Independence, OH 44131
Phone (330) 518-8334

1662 Mars Ave
Lakewood, OH 44107
Phone (216) 282-3838

24600 Center Ridge Rd
Ste 260
Westlake, OH 44145
Phone (330) 518-8334

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1003200296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 MARS AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073825",
            "telephone_number": "216-282-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BRIDGE AVE STE 4",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133086",
            "telephone_number": "216-282-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8445 Munson Rd",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440602410",
            "country_code": "US",
            "telephone_number": "440-255-1700",
            "fax_number": "440-205-2417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARLEY",
        "first_name": "ALLYSON",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1400561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2844093",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.