Individual provider Active NPI

Robert Allan Mitchell, LISW LICDC

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland Heights, OH
National Provider Identifier
1073604922
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
01137 Issued in OH
Practice address
2995 E Overlook Rd
Cleveland Heights, OH 44118-2435
Phone
(216) 570-8108
Fax
(216) 397-1107
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 01137 OH Primary
Clinical Social Worker 1041C0700X OHIO0007333 OH

Addresses

Primary practice location

2995 E Overlook Rd
Cleveland Heights, OH 44118-2435

Mailing address

2995 E Overlook Rd
Cleveland Heights, OH 44118-2435
Phone (216) 570-8108

Other names 1

  • Mr. Robert Allan Mitchell Other name

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
I20160509000913 OH Practitioner - Clinical Social Worker 3577862820 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OHIO0007333OHMDClinical Social Worker
01137OHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Corporation Current Accepting new patients
Catholic Charities Services PastSince Mar 19, 2016 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 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073604922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 E OVERLOOK RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182435",
            "telephone_number": "216-570-8108",
            "fax_number": "216-397-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 E OVERLOOK RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182435",
            "telephone_number": "216-570-8108",
            "fax_number": "216-397-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ROBERT",
        "middle_name": "ALLAN",
        "credential": "LISW LICDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "01137",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "OHIO0007333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "MITCHELL",
            "middle_name": "ALLAN",
            "prefix": "MR.",
            "credential": "LISW LICDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland Heights, OH

Sources for this page

Verify at the official NPI Registry.