Active NPI
Jeffrey Canfield
- Counselor
- Cleveland, OH
National Provider Identifier
1245802107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 176291
- Practice address
- 8411 Broadway Ave
Cleveland, OH 44105-3932 - Phone
- (216) 441-0200
- NPI assigned
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 176291 | OH | Primary |
Addresses
Primary practice location
8411 Broadway Ave
Cleveland, OH 44105-3932
Mailing address
6922 Grant Ave
Cleveland, OH 44105-5630
Phone (216) 307-9020
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 |
|---|---|---|---|
| 176291 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1245802107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6922 GRANT AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441055630",
"telephone_number": "216-307-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8411 BROADWAY AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441053932",
"telephone_number": "216-441-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANFIELD",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "176291",
"primary": true
}
],
"identifiers": [],
"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 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.