NPIMap

Organization Active NPI

Arbor Sana Counseling & Wellness Inc

  • Psychologist
  • Westlake, OH
National Provider Identifier
1023039963
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5168 Issued in OH
Legal business name
ARBOR SANA COUNSELING & WELLNESS INC
Practice address
671 Columbia Rd Ste 8
Westlake, OH 44145-1477
Phone
(440) 895-0366
Fax
(440) 331-2692
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Theresa BrixiusNPI 1437624517
Title
Owner of Practice
Phone
(440) 895-0366

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 5168 OH Primary

Addresses

Primary practice location

671 Columbia Rd Ste 8
Westlake, OH 44145-1477

Mailing address

2639 Wooster Rd
Suite 4
Rocky River, OH 44116-2911
Phone (440) 665-6506

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070412000298 OH Part B Supplier - Clinic/Group Practice 3577667518 Receives reassigned benefits from 7 practitioners
Practice locations: Westlake, OH

National Provider Directory

National Provider Directory

Locations

2639 Wooster Rd
Ste 4
Rocky River, OH 44116

671 Columbia Rd
Ste 8
Westlake, OH 44145
Phone (440) 895-0366

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1023039963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 WOOSTER RD",
            "address_2": "SUITE 4",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162911",
            "telephone_number": "440-665-6506",
            "fax_number": "440-331-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 COLUMBIA RD STE 8",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451477",
            "telephone_number": "440-895-0366",
            "fax_number": "440-331-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR SANA COUNSELING & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "BRIXIUS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER OF PRACTICE",
        "authorized_official_telephone_number": "440-895-0366"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.