Organization Active NPI

Connections Counseling & Mediation Services, LLC

  • Community/Behavioral Health Agency
  • Medina, OH
National Provider Identifier
1053909077
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CONNECTIONS COUNSELING & MEDIATION SERVICES, LLC
Practice address
3637 Medina Rd Ste 345a
Medina, OH 44256-8152
Phone
(216) 346-2578
Fax
(330) 952-1008
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Mrs. Courtney Michelle Ott, LISW-S
Title
Owner/Clinician
Phone
(216) 346-2578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3637 Medina Rd Ste 345a
Medina, OH 44256-8152

Mailing address

3637 Medina Rd Ste 345a
Medina, OH 44256-8152
Phone (216) 346-2578

National Provider Directory

National Provider Directory

Locations

3637 Medina Rd
Ste 345A
Medina, OH 44256
Phone (216) 346-2578

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1053909077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD STE 345A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568152",
            "telephone_number": "216-346-2578",
            "fax_number": "330-952-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD STE 345A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568152",
            "telephone_number": "216-346-2578",
            "fax_number": "330-952-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS COUNSELING & MEDIATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "216-346-2578",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.