Organization Active NPI

Insight Counseling and Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mentor, OH
National Provider Identifier
1255846952
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INSIGHT COUNSELING AND WELLNESS LLC
Practice address
7547 Mentor Ave Ste 300
Mentor, OH 44060-5432
Phone
(440) 701-6170
Fax
(440) 527-8043
NPI assigned
Dec 5, 2017
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Shellie Rozic, LISW-SNPI 1952764276
Title
Owner, Clinical Therapist
Phone
(440) 637-4915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

7547 Mentor Ave Ste 300
Mentor, OH 44060-5432

Mailing address

7547 Mentor Ave Ste 306
Mentor, OH 44060-5432
Phone (440) 701-6170

Other practice location 1

398 W Bagley Rd Ste 13
Berea, OH 44017-1312
Phone (440) 970-3790

Other practice location 2

4565 Dressler Rd NW Ste 112
Canton, OH 44718-2576
Phone (330) 765-5160

Other identifiers 1

IdentifierTypeStateIssuer
0256408MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181102001616 OH Part B Supplier - Clinic/Group Practice 5799038055 Receives reassigned benefits from 18 practitioners
Practice locations: Mentor, OH

National Provider Directory

National Provider Directory

Locations

398 W Bagley Rd
Ste 13
Berea, OH 44017
Phone (440) 970-3790

4565 Dressler Rd NW
Ste 112
Canton, OH 44718
Phone (330) 765-5160

7519 Mentor Ave
Ste 114
Mentor, OH 44060
Phone (440) 701-6170

7537 Mentor Ave
Mentor, OH 44060
Phone (440) 942-6562

7547 Mentor Ave
#300
Mentor, OH 44060

7547 Mentor Ave
Ste 300
Mentor, OH 44060
Phone (440) 701-6170

7547 Mentor Ave
Ste 306
Mentor, OH 44060
Phone (440) 701-6170

Practitioners & affiliated clinicians

Practitioners 65

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.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1255846952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7547 MENTOR AVE STE 306",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605432",
            "telephone_number": "440-701-6170",
            "fax_number": "440-527-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7547 MENTOR AVE STE 300",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605432",
            "telephone_number": "440-701-6170",
            "fax_number": "440-527-8043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "398 W Bagley Rd Ste 13",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "OH",
            "postal_code": "440171312",
            "country_code": "US",
            "telephone_number": "440-970-3790",
            "fax_number": "440-297-4117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4565 Dressler Rd NW Ste 112",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182576",
            "country_code": "US",
            "telephone_number": "330-765-5160",
            "fax_number": "330-915-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSIGHT COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "ROZIC",
        "authorized_official_first_name": "SHELLIE",
        "authorized_official_title_or_position": "OWNER, CLINICAL THERAPIST",
        "authorized_official_telephone_number": "440-637-4915",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256408",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.