Individual provider Active NPI

Wilhelmina A Neal, LPC

  • Mental Health Counselor
  • Beachwood, OH
National Provider Identifier
1255076378
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2103581 Issued in OH
Practice address
2000 Auburn Dr Ste 200
Beachwood, OH 44122-4328
Phone
(216) 378-2935
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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 C2103581 OH Primary

Addresses

Primary practice location

2000 Auburn Dr Ste 200
Beachwood, OH 44122-4328

Mailing address

8363 Viola Way
Macedonia, OH 44056-4307
Phone (614) 743-5490

Other practice location 1

8363 Viola Way
Macedonia, OH 44056-4307
Phone (614) 743-5490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C2103581OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restored Minds Mental Health Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1255076378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8363 VIOLA WAY",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440564307",
            "telephone_number": "614-743-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR STE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224328",
            "telephone_number": "216-378-2935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8363 Viola Way",
            "address_purpose": "LOCATION",
            "city": "Macedonia",
            "state": "OH",
            "postal_code": "440564307",
            "country_code": "US",
            "telephone_number": "614-743-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "WILHELMINA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C2103581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.