Individual provider Active NPI

Janell Supanich, MFTT, CT

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1063982346
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
812 Biruta St
Akron, OH 44307-1104
Phone
(330) 762-7481
NPI assigned
Nov 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

812 Biruta St
Akron, OH 44307-1104

Mailing address

429 Northvale Dr
Chippewa Lake, OH 44215-9719

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
I20250325000551 OH Practitioner - Marriage and Family Therapist 7618490236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Corporation Current Accepting new patients

Locations

7911 Detroit Ave
Cleveland, OH 44102
Phone (216) 334-2876

1515 W 29th St
Cleveland, OH 44113
Phone (216) 574-9000

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1063982346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 NORTHVALE DR",
            "city": "CHIPPEWA LAKE",
            "state": "OH",
            "postal_code": "442159719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 BIRUTA ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443071104",
            "telephone_number": "330-762-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPANICH",
        "first_name": "JANELL",
        "credential": "MFTT, CT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.