Organization Active NPI

Cunningham Counseling Associates L.L.C.

  • Clinical Social Worker
  • Rocky River, OH
National Provider Identifier
1245581180
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0008301 Issued in OH
Legal business name
CUNNINGHAM COUNSELING ASSOCIATES L.L.C.
Practice address
20525 Detroit Rd
Suite 6
Rocky River, OH 44116-2444
Phone
(216) 767-5709
NPI assigned
Oct 1, 2012
Last updated
Dec 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Authorized official

Name
Mrs. Kelly Elizabeth Cunningham, LISWS, LICDCNPI 1780730788
Title
Owner
Phone
(440) 409-5486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I 0008301 OH Primary

Addresses

Primary practice location

20525 Detroit Rd
Suite 6
Rocky River, OH 44116-2444

Mailing address

20525 Detroit Rd
Suite 6
Rocky River, OH 44116-2444
Phone (216) 767-5709

Other identifiers 1

IdentifierTypeStateIssuer
SW35811OtherMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

20525 Detroit Rd
Ste 6
Rocky River, OH 44116
Phone (216) 767-5709

24500 Center Ridge Rd
Ste 125
Westlake, OH 44145
Phone (440) 409-5486

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1245581180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 DETROIT RD",
            "address_2": "SUITE 6",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162444",
            "telephone_number": "216-767-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 DETROIT RD",
            "address_2": "SUITE 6",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162444",
            "telephone_number": "216-767-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNNINGHAM COUNSELING ASSOCIATES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-409-5486",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISWS, LICDC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0008301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "SW35811",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.