Kenneth Trivison

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0000375 Issued in OH

Practice address

25111 Country Club Blvd
Suite 290
North Olmsted, OH 44070-5345

Phone

(440) 614-2520

Fax

(440) 614-2526

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pbc.kennethtrivision@140094.advancedmd-direct.com

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.

• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114969862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24800 HIGHPOINT RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226041",
            "telephone_number": "216-831-6611",
            "fax_number": "216-831-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25111 COUNTRY CLUB BLVD",
            "address_2": "SUITE 290",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705345",
            "telephone_number": "440-614-2520",
            "fax_number": "440-614-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVISON",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0000375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tocco Chiropractic, Inc
• Salvator J Tocco, D.C.
• Traveling Foot Doctors
• Tridia Care Connections, LLC
• Tabitha Tripp
• Twinsburg Family Counseling
• Twinsburg Family Counseling
• Union Eye Care Center, Inc.
• United Clinical Lab LLC
• University Primary Care Practices Inc

• Mental Health Counselor in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.