NPIMap

Organization Active NPI

Cleveland Health and Wellness Center

  • Mental Health Counselor
  • Rocky River, OH
National Provider Identifier
1013371962
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CLEVELAND HEALTH AND WELLNESS CENTER
Practice address
20525 Detroit Rd
Suite 8
Rocky River, OH 44116-2444
Phone
(216) 777-8834
Fax
(216) 502-2291
NPI assigned
Apr 7, 2016
Last updated
Jan 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Elana Hunter, LPCCNPI 1760810667
Title
Director
Phone
(216) 513-2256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

20525 Detroit Rd
Suite 8
Rocky River, OH 44116-2444

Mailing address

20525 Detroit Rd
Suite 8
Rocky River, OH 44116-2444
Phone (216) 777-8834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211022000964 OH Part B Supplier - Clinic/Group Practice 1254729387 Receives reassigned benefits from 7 practitioners
Practice locations: Beachwood, OH; Rocky River, OH

National Provider Directory

National Provider Directory

Locations

20525 Detroit Rd
Ste 8
Rocky River, OH 44116
Phone (216) 236-4266

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1013371962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 DETROIT RD",
            "address_2": "SUITE 8",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162444",
            "telephone_number": "216-777-8834",
            "fax_number": "216-502-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 DETROIT RD",
            "address_2": "SUITE 8",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162444",
            "telephone_number": "216-777-8834",
            "fax_number": "216-502-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ELANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-513-2256",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.