NPIMap

Organization Active NPI

Cornerstone Psychological & Counseling Services of Northeast Ohio

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Medina, OH
National Provider Identifier
1144612300
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CORNERSTONE PSYCHOLOGICAL & COUNSELING SERVICES OF NORTHEAST OHIO
Practice address
4018 Medina Rd Ste D
Medina, OH 44256-9675
Phone
(330) 722-4166
Fax
(330) 336-5325
NPI assigned
Feb 25, 2015
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Ken Filbert
Title
Owner
Phone
(330) 336-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4018 Medina Rd Ste D
Medina, OH 44256-9675

Mailing address

195 Wadsworth Rd Ste 201a
Wadsworth, OH 44281-9504
Phone (330) 336-2800

Other identifiers 1

IdentifierTypeStateIssuer
0126029MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://www.practicefusion.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150519001575 OH Part B Supplier - Clinic/Group Practice 1052631868 Receives reassigned benefits from 16 practitioners
Practice locations: Barberton, OH; Fairview Park, OH; Medina, OH; Wadsworth, OH; Wooster, OH

National Provider Directory

National Provider Directory

Locations

155 5th St NE
Ste 104
Barberton, OH 44203
Phone (330) 615-3900

22915 Lorain Rd
Fairview Park, OH 44126
Phone (330) 722-4166

221 W Liberty St
Medina, OH 44256
Phone (330) 410-8444

195 Wadsworth Rd
Ste 201A
Wadsworth, OH 44281

Practitioners & affiliated clinicians

Practitioners 31

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 31

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1144612300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 WADSWORTH RD STE 201A",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819504",
            "telephone_number": "330-336-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 MEDINA RD STE D",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569675",
            "telephone_number": "330-722-4166",
            "fax_number": "330-336-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PSYCHOLOGICAL & COUNSELING SERVICES OF NORTHEAST OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "FILBERT",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-336-2800"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126029",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.practicefusion.com/",
            "affiliation": "N",
            "address_1": "195 Wadsworth Rd Ste 201A",
            "city": "Wadsworth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442819504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.