Organization Active NPI

Let'S Get Real, Inc.

  • Counselor
  • Lorain, OH
National Provider Identifier
1174094189
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
LET'S GET REAL, INC.
Practice address
1939 Oberlin Ave
Lorain, OH 44052-3959
Phone
(440) 963-7042
Fax
(440) 963-9248
NPI assigned
Dec 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Kimberly Eberle, LSW, LCDC III
Title
Organization Director
Phone
(440) 963-7042

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X

Addresses

Primary practice location

1939 Oberlin Ave
Lorain, OH 44052-3959

Mailing address

1939 Oberlin Ave
Lorain, OH 44052-3959
Phone (440) 963-7042

National Provider Directory

National Provider Directory

Locations

1939 Oberlin Ave
Lorain, OH 44052
Phone (440) 963-7042

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1174094189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523959",
            "telephone_number": "440-963-7042",
            "fax_number": "440-963-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523959",
            "telephone_number": "440-963-7042",
            "fax_number": "440-963-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LET'S GET REAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "EBERLE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ORGANIZATION DIRECTOR",
        "authorized_official_telephone_number": "440-963-7042",
        "authorized_official_credential": "LSW, LCDC III"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.