Active NPI
Michelle Demangone
- Professional Counselor
- Beachwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C-2103237
- Practice address
- 23215 Commerce Park # 205
Beachwood, OH 44122-5803 - Phone
- (440) 339-1456
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C-2103237 | OH | Primary |
Addresses
Primary practice location
23215 Commerce Park # 205
Beachwood, OH 44122-5803
Mailing address
10 Timber Ridge Dr
Chagrin Falls, OH 44022-2796
Phone (440) 339-1456
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3681 Green Rd
Suite 406
Beachwood, OH 44122-5716
Phone (216) 407-6278
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-2103237 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Professional | Current | Accepting new patients |
| Hull Institute, LLC | Current | Accepting new patients |
Locations
3681 Green Rd
Ste 406
Beachwood, OH 44122
Phone (216) 407-6278
23215 Commerce Park
Ste 205B
Beachwood, OH 44122
Phone (216) 407-6278
800 N High St
Columbus, OH 43215
Phone (631) 540-8225
20545 Center Ridge Rd
Ste 400
Rocky River, OH 44116
Phone (216) 407-6278
15300 Pearl Rd
Ste 120
Strongsville, OH 44136
Phone (216) 407-6278
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.
-
- Clinical Social Worker
- Beachwood, OH
- NPI 1588785067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1104543974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 TIMBER RIDGE DR",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440222796",
"telephone_number": "440-339-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23215 COMMERCE PARK # 205",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225803",
"telephone_number": "440-339-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMANGONE",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C-2103237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.