Active NPI
James Edward Hoag III
- Professional Counselor
- Kent, OH
National Provider Identifier
1205589488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2305203
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C.2305203 | OH | MD | Professional Counselor |
| C.2103699-TRNE | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neo Counseling Services, LLC | Past | Accepting new patients | |
| Gary Robinson & Associates LLC | Professional | Past | 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.
-
- Mental Health Counselor
- Mentor, OH
- NPI 1528421252
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.