A Foundation of Faith
Organization Active NPI Professional Counselor · Richfield, OH
NPI 1003588799 · NPPES record last updated Sep 30, 2021
Key facts
- NPI
- 1003588799
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- A FOUNDATION OF FAITH
- Practice address
- 3967 Broadview Rd
Richfield, OH 44286-9501 - Phone
- (216) 392-8855
- NPI assigned
- Sep 30, 2021
- Organization subpart
- No
Authorized official
- Name
- Mr. Esam Joshua Pietras, LPC
- Title
- Owner
- Phone
- (216) 392-8855
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241108001202 | OH | Part B Supplier - Clinic/Group Practice | 8224562590 |
Receives reassigned benefits from 1 practitioner Practice locations: Richfield, OH |
National Provider Directory
Locations
3967 Broadview Rd
Richfield, OH 44286
Phone (216) 392-8855
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
3967 Broadview Rd
Richfield, OH 44286-9501
Mailing address
3967 Broadview Rd
Richfield, OH 44286-9501
Phone (216) 392-8855
Other names
- A Foundation of Faith
Other providers in Richfield, OH
- Activ Physical Therapy, LLC
- Lauren Michelle Adams
- Arc Therapy Services LLC
- Edward Joseph Ash
- Julie Barbeck
All providers in Richfield, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.