NPIMap

Organization Active NPI

My Happy Place Wellness Center

  • Counselor
  • Avon, OH
National Provider Identifier
1154935872
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MY HAPPY PLACE WELLNESS CENTER
Practice address
38100 Colorado Ave
Avon, OH 44011-1031
Phone
(440) 961-1008
Fax
(440) 815-2287
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Christina Pope
Title
Office Manager
Phone
(440) 961-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

38100 Colorado Ave
Avon, OH 44011-1031

Mailing address

38100 Colorado Ave
Avon, OH 44011-1031
Phone (440) 961-1008

Other identifiers 2

IdentifierTypeStateIssuer
0290155MedicaidOH
0414430MedicaidOH

National Provider Directory

National Provider Directory

Locations

38100 Colorado Ave
Avon, OH 44011
Phone (440) 935-9106

156 Lear Rd
#A
Avon Lake, OH 44012
Phone (419) 367-3500

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1154935872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38100 COLORADO AVE",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111031",
            "telephone_number": "440-961-1008",
            "fax_number": "440-815-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38100 COLORADO AVE",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111031",
            "telephone_number": "440-961-1008",
            "fax_number": "440-815-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HAPPY PLACE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-961-1008"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0290155",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0414430",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.