Individual provider Active NPI

Vanessa L Womack, LPCC-S

  • Professional Counselor
  • Akron, OH
National Provider Identifier
1184148306
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E1700113 Issued in OH
Practice address
300 N Cleveland Massillon Rd Ste 104
Akron, OH 44333-2484
Phone
(216) 798-7659
NPI assigned
Jul 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E1700113 OH Primary

Addresses

Primary practice location

300 N Cleveland Massillon Rd Ste 104
Akron, OH 44333-2484

Mailing address

1417 E 263Rd St
Euclid, OH 44132-2917
Phone (216) 798-7659

Other practice location 1

300 N Cleveland Massillon Rd
Akron, OH 44333-2484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E1700113OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
To Go Development, LLC Professional Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1501372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1184148306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 E 263RD ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322917",
            "telephone_number": "216-798-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N CLEVELAND MASSILLON RD STE 104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332484",
            "telephone_number": "216-798-7659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N Cleveland Massillon Rd",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443332484",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "VANESSA",
        "middle_name": "L",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-30",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1700113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.