Active NPI
Eileen M Pappalardo, PCC, ATR-BC
- Mental Health Counselor
- Cleveland, OH
National Provider Identifier
1225320690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.1100164
- Practice address
- 1744 Payne Ave
Cleveland, OH 44114-2910 - Phone
- (216) 623-6555
- NPI assigned
- May 4, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1100164 | OH | |
| Mental Health Counselor | 101YM0800X | E.1100164 | OH | Primary |
Addresses
Primary practice location
1744 Payne Ave
Cleveland, OH 44114-2910
Mailing address
20525 Center Ridge Rd Ste 502
Rocky River, OH 44116-3424
Phone (440) 799-4717
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0212816 | Medicaid | OH | |
| 1447793583 | Other | OH | SIMPLE PRESENCE COUNSELING, LLC |
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 |
|---|---|---|---|
| E.1100164 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simple Presence Counseling, LLC | Professional | Current | Accepting new patients |
Locations
20525 Center Ridge Rd
Rocky River, OH 44116
Phone (216) 200-8814
20525 Center Ridge Rd
Ste 502
Rocky River, OH 44116
Phone (216) 228-3500
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.
-
- Professional Counselor
- Rocky River, OH
- NPI 1447793583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1225320690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20525 CENTER RIDGE RD STE 502",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441163424",
"telephone_number": "440-799-4717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 PAYNE AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441142910",
"telephone_number": "216-623-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPPALARDO",
"first_name": "EILEEN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PCC, ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-04",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1100164",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.1100164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0212816",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIMPLE PRESENCE COUNSELING, LLC",
"identifier": "1447793583",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.