NPIMap

Organization Active NPI

Western Reserve Counseling

  • Community/Behavioral Health Agency
  • Painesville, OH
National Provider Identifier
1174957815
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
E0002543 Issued in OH
Legal business name
WESTERN RESERVE COUNSELING
Practice address
1 Victoria PL
Suite 105
Painesville, OH 44077-3466
Phone
(440) 352-8954
Fax
(440) 352-0351
NPI assigned
Aug 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Authorized official

Name
Mrs. Kelly Sue Christy, LPCC-S
Title
Therapist
Phone
(440) 352-8954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X E0002543 OH Primary

Addresses

Primary practice location

1 Victoria PL
Suite 105
Painesville, OH 44077-3466

Mailing address

1 Victoria PL
Suite 105
Painesville, OH 44077-3466
Phone (440) 352-8954

National Provider Directory

National Provider Directory

Locations

1 Victoria Pl
Ste 105
Painesville, OH 44077
Phone (440) 352-8954

Practitioners & affiliated clinicians

Practitioners 6

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": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1174957815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VICTORIA PL",
            "address_2": "SUITE 105",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773466",
            "telephone_number": "440-352-8954",
            "fax_number": "440-352-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VICTORIA PL",
            "address_2": "SUITE 105",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773466",
            "telephone_number": "440-352-8954",
            "fax_number": "440-352-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RESERVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "CHRISTY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "440-352-8954",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "E0002543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.