NPIMap

Organization Active NPI

Pastoral Counseling Service of Summit Co Inc

  • Community/Behavioral Health Agency
  • Akron, OH
National Provider Identifier
1073925624
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PASTORAL COUNSELING SERVICE OF SUMMIT CO INC
Practice address
611 W Market St
Akron, OH 44303-1406
Phone
(330) 996-4600
Fax
(330) 643-0767
NPI assigned
May 29, 2014
Last updated
Feb 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Lesli Eisenhart
Title
Manager of Accts Rec
Phone
(330) 996-4600

Specialties & licenses 1

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

Addresses

Primary practice location

611 W Market St
Akron, OH 44303-1406

Mailing address

611 W Market St
Akron, OH 44303-1406
Phone (330) 996-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120822000575 OH Part B Supplier - Clinic/Group Practice 9638326804 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Akron, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

147 Park St
Akron, OH 44308
Phone (330) 996-4600

611 W Market St
Akron, OH 44303
Phone (330) 996-4600

Practitioners & affiliated clinicians

Practitioners 352

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 352

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1073925624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031406",
            "telephone_number": "330-996-4600",
            "fax_number": "330-643-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031406",
            "telephone_number": "330-996-4600",
            "fax_number": "330-643-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTORAL COUNSELING SERVICE OF SUMMIT CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "EISENHART",
        "authorized_official_first_name": "LESLI",
        "authorized_official_title_or_position": "MANAGER OF ACCTS REC",
        "authorized_official_telephone_number": "330-996-4600"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.