Revolution Wellness Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REVOLUTION WELLNESS CENTER LLC

Practice address

17535 Rosbough Blvd Ste 202
Middleburg Heights, OH 44130-8362

Phone

(216) 772-3310

Fax

(216) 251-8502

NPI assigned

Mar 29, 2023

Organization subpart

No

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

Authorized official

Name

Mary Lee Emrich, LSW, LPCC-S, LICDC

Title

Owner

Phone

(440) 915-7922

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Fischer, CDCA

  • Social Worker
  • Middleburg Heights, OH
  • NPI 1700317849
  NPD
• Cindy Kalogeras, QMHS

  • Case Manager/Care Coordinator
  • Middleburg Heights, OH
  • NPI 1871368274

  Multi-Specialty

  NPD
• Ashley Wall, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Youngstown, OH
  • NPI 1871291021
  NPD (past)

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1013611490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17535 ROSBOUGH BLVD STE 202",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308362",
            "telephone_number": "216-772-3310",
            "fax_number": "216-251-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17535 ROSBOUGH BLVD STE 202",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308362",
            "telephone_number": "216-772-3310",
            "fax_number": "216-251-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "EMRICH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-915-7922",
        "authorized_official_credential": "LSW, LPCC-S, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.