Individual provider Active NPI

Peter Milota, LISW

  • Clinical Social Worker
  • Cleveland Heights, OH
National Provider Identifier
1033641964
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2102990 Issued in OH
Practice address
2460 Fairmount Blvd Ste 317
Cleveland Heights, OH 44106-3164
Phone
(216) 299-7717
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2102990 OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.161411 OH

Addresses

Primary practice location

2460 Fairmount Blvd Ste 317
Cleveland Heights, OH 44106-3164

Mailing address

429 Front St
Berea, OH 44017-1716

Other practice location 1

7265 Old Oak Blvd
Cleveland, OH 44130-3342
Phone (440) 816-8200

Other identifiers 1

IdentifierTypeStateIssuer
0340117MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220107001653 OH Practitioner - Clinical Social Worker 8123410818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2460 Fairmount Blvd
Suite 317
Cleveland Heights, OH 44106-3164
Phone (216) 299-7717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.161411OHMDAddiction (Substance Use Disorder) Counselor
I.2102990OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Milota LLC Clinical CurrentSince Dec 9, 2021 Accepting new patients

Locations

429 Front St
Berea, OH 44017
Phone (440) 243-6660

2460 Fairmount Blvd
Ste 317
Cleveland Hts, OH 44106
Phone (216) 299-7717

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1033641964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 FRONT ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 FAIRMOUNT BLVD STE 317",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063164",
            "telephone_number": "216-299-7717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7265 Old Oak Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441303342",
            "country_code": "US",
            "telephone_number": "440-816-8200",
            "fax_number": "440-816-8197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILOTA",
        "first_name": "PETER",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102990",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161411",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0340117",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

Verify at the official NPI Registry.