Individual provider Active NPI

Robin Larson

  • Professional Counselor
  • Cleveland, OH
National Provider Identifier
1063702298
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E1100001 Issued in OH
Practice address
2225 N Saint James Pkwy
Cleveland, OH 44106-3330
Phone
(330) 760-4112
NPI assigned
Apr 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E1100001 OH Primary

Addresses

Primary practice location

2225 N Saint James Pkwy
Cleveland, OH 44106-3330

Mailing address

2225 N Saint James Pkwy
Cleveland, OH 44106-3330
Phone (330) 760-4112

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
I20241029001651 OH Practitioner - Mental Health Counselor 4284167321 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1100001OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chattree and Associates LTD CurrentSince Aug 5, 2024 Accepting new patients
Recovery Resources Past Accepting new patients
Recovery Resources Past Accepting new patients

Locations

3690 Orange Pl
Ste 320
Beachwood, OH 44122
Phone (216) 831-1494

Organizations & group practices 3

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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1063702298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 N SAINT JAMES PKWY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441063330",
            "telephone_number": "330-760-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N SAINT JAMES PKWY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441063330",
            "telephone_number": "330-760-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ROBIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1100001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.