Individual provider Active NPI

James Edward Hoag III

  • Professional Counselor
  • Kent, OH
National Provider Identifier
1205589488
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2305203 Issued in OH
Practice address
190 Currie Hall Pkwy Ste a
Kent, OH 44240-4312
Phone
(330) 673-5812
NPI assigned
Jan 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X C.2103699-TRNE OH
Professional Counselor 101YP2500X C.2305203 OH Primary

Addresses

Primary practice location

190 Currie Hall Pkwy Ste a
Kent, OH 44240-4312

Mailing address

163 Carriage Dr Apt 204
Chagrin Falls, OH 44022-2840
Phone (216) 372-0434

Other practice location 1

9930 Johnnycake Ridge Rd Ste 4F
Mentor, OH 44060-6762
Phone (440) 579-5100

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
C.2305203OHMDProfessional Counselor
C.2103699-TRNEOHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Neo Counseling Services, LLC PastSince Jan 10, 2023 Accepting new patients
Gary Robinson & Associates LLC Professional PastSince Jul 16, 2023 Accepting new patients

Organizations & group practices 2

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": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1205589488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 CARRIAGE DR APT 204",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440222840",
            "telephone_number": "216-372-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CURRIE HALL PKWY STE A",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404312",
            "telephone_number": "330-673-5812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9930 Johnnycake Ridge Rd Ste 4F",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440606762",
            "country_code": "US",
            "telephone_number": "440-579-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOAG",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-28",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "C.2103699-TRNE",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2305203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.