Telos Foundation Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0002803.SUPV Issued in OH

Legal business name

TELOS FOUNDATION INC

Doing business as

Telos Counseling Services

Practice address

1875 N Ridge Rd E
Suite K
Lorain, OH 44055-3371

Phone

(440) 277-1112

Fax

(440) 277-1109

NPI assigned

Aug 5, 2009

Last updated

Sep 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William F. Vanek, MSSA, LISW-S

Title

President

Phone

(440) 277-1112

Specialties & licenses 1

Addresses

Other names 1

• Telos Counseling Services Doing business as

Locations

Practitioners 1

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.

• Carlene L Kovach

  • Professional Counselor
  • Cleveland, OH
  • NPI 1497076822
  NPD (past)

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1194956383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 N RIDGE RD E",
            "address_2": "SUITE K",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440553371",
            "telephone_number": "440-277-1112",
            "fax_number": "440-277-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 N RIDGE RD E",
            "address_2": "SUITE K",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440553371",
            "telephone_number": "440-277-1112",
            "fax_number": "440-277-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELOS FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "VANEK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-277-1112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSSA, LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0002803.SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telos Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naketa Sharell Taylor, LPN
• Ryan Taylor
• Samantha Taylor, CDCA
• Darci Tellep, LISW
• Kimberly Telmanik, PA-C
• Julie Temple, LISW
• Melissa Temple
• Amanda Terrill
• The Audiology Center of Lorain Co. Inc
• The Cleveland Clinic Foundation

• Clinical Social Worker in Lorain, OH
• Providers in Lorain, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.