Individual provider Active NPI

Joshua Adam Ketola, CIT

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1215561279
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
580 Grant St
Akron, OH 44311-9910
Phone
(330) 376-9494
NPI assigned
Feb 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OH Primary

Addresses

Primary practice location

580 Grant St
Akron, OH 44311-9910

Mailing address

PO Box 1064
Andover, OH 44003-1064
Phone (440) 661-1920

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greenleaf Family Center CurrentSince Mar 1, 2020 Accepting new patients
Greenleaf Family Center PastSince Mar 1, 2020 Accepting new patients

Locations

580 Grant St
Akron, OH 44311
Phone (330) 376-9494

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/greenleafctr/r4/

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": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1215561279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1064",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440031064",
            "telephone_number": "440-661-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 GRANT ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443119910",
            "telephone_number": "330-376-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETOLA",
        "first_name": "JOSHUA",
        "middle_name": "ADAM",
        "credential": "CIT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "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 Feb 28, 2020; 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.