Individual provider Active NPI

Michael Paul Kearney, LPCC

  • Professional Counselor
  • Westlake, OH
National Provider Identifier
1093846735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E 0002475 Issued in OH
Practice address
30400 Detroit Rd
Suite 306
Westlake, OH 44145-1872
Phone
(440) 779-7324
Fax
(440) 617-1960
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 E 0002475 OH Primary

Addresses

Primary practice location

30400 Detroit Rd
Suite 306
Westlake, OH 44145-1872

Mailing address

30400 Detroit Rd
Suite 306
Westlake, OH 44145-1872
Phone (440) 779-7324

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
I20241118000719 OH Practitioner - Mental Health Counselor 7618007741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Institute Inc.Group PAC ID 4082744115, 2 clinicians

Practice addresses (Care Compare)

24500 Ctr Ridge Rd
Suite 185
Westlake, OH 44145-5608
Phone (440) 455-1150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E 0002475OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Institute Inc. CurrentSince Sep 30, 2024 Accepting new patients
Family Institute Inc. PastSince Sep 30, 2024 Accepting new patients

Locations

24500 Center Ridge Rd
Ste 185
Westlake, OH 44145
Phone (440) 219-3510

30400 Detroit Rd
Ste 306
Westlake, OH 44145
Phone (440) 779-7323

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093846735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30400 DETROIT RD",
            "address_2": "SUITE 306",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451872",
            "telephone_number": "440-779-7324",
            "fax_number": "440-617-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 DETROIT RD",
            "address_2": "SUITE 306",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451872",
            "telephone_number": "440-779-7324",
            "fax_number": "440-617-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 0002475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.