Individual provider Active NPI

Michelle Demangone

  • Professional Counselor
  • Beachwood, OH
National Provider Identifier
1104543974
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C-2103237 Issued in OH
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

Updated by the provider on Oct 24, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240329001036 OH Practitioner - Mental Health Counselor 1850739681 Reassigns benefits to 2 organizations

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
Hull Institute LLCGroup PAC ID 4688688518, 8 clinicians

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

LicenseStateTypeSpecialty
C-2103237OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Professional CurrentSince Aug 1, 2025 Accepting new patients
Hull Institute, LLC CurrentSince Feb 17, 2024 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.

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

Verify at the official NPI Registry.