Active NPI
Adam Fields, LMFT
- Marriage & Family Therapist
- Beachwood, OH
National Provider Identifier
1053624064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- F.2200266-SUPV
- Practice address
- 24300 Chagrin Blvd Ste 300
Beachwood, OH 44122-5629 - Phone
- (310) 614-2202
- NPI assigned
- Jul 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 52984 | CA | |
| Marriage & Family Therapist | 106H00000X | F.2200266-SUPV | OH | Primary |
Addresses
Primary practice location
24300 Chagrin Blvd Ste 300
Beachwood, OH 44122-5629
Mailing address
24300 Chagrin Blvd Ste 300
Beachwood, OH 44122-5629
Phone (310) 614-2202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7068 | Medicaid | CA | |
| 7420 | Medicaid | CA |
Other names 1
- Adam Fields
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F.2200266-SUPV | OH | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1053624064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24300 CHAGRIN BLVD STE 300",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225629",
"telephone_number": "310-614-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24300 CHAGRIN BLVD STE 300",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225629",
"telephone_number": "310-614-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "ADAM",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-19",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "52984",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "F.2200266-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7068",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7420",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ADAM",
"last_name": "FIELDS",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.