Charles Edward Van Leer

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5 Severance Cir Ste 201
Cleveland HTS, OH 44118-1567

Phone

(216) 659-5406

NPI assigned

Jun 4, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Uprise Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Cleveland HTS, OH
  • NPI 1043893662
  NPD

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1023685443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE STE 2191",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121275",
            "telephone_number": "216-260-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR STE 201",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181567",
            "telephone_number": "216-659-5406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17325 Euclid Ave Ste 2191",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441121275",
            "country_code": "US",
            "telephone_number": "216-260-9022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN LEER",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladora A Tucker
• Sara S Tucker, MD
• Unique Home Care Solutions
• University Primary Care Practices Inc
• Uprise Behavioral Health LLC
• Demeisha Varner
• Olga Vaynberg
• Jessica Edith Vazquez, M.ED.S
• Volara Care Collective LLC
• Laura Wagner

• Case Manager/Care Coordinator in Cleveland HTS, OH
• Providers in Cleveland HTS, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.