Active NPI
Nicholas Munk
- Professional Counselor
- Independence, OH
National Provider Identifier
1063349744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRS.007759
- Practice address
- 600 E Granger Rd
Independence, OH 44131-6704 - Phone
- (888) 586-7186
- NPI assigned
- May 6, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRS.007759 | OH | Primary |
Addresses
Primary practice location
600 E Granger Rd
Independence, OH 44131-6704
Mailing address
402 E 307TH St
Willowick, OH 44095-3726
Phone (440) 283-9361
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 |
|---|---|---|---|
| PRS.007759 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1063349744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 E 307TH ST",
"city": "WILLOWICK",
"state": "OH",
"postal_code": "440953726",
"telephone_number": "440-283-9361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E GRANGER RD",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441316704",
"telephone_number": "888-586-7186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNK",
"first_name": "NICHOLAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-06",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "OH",
"license": "PRS.007759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.