Individual provider Active NPI

Abigail Mary Mitchell, MA

  • Marriage & Family Therapist
  • Cleveland Heights, OH
National Provider Identifier
1265960454
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F.2100218 Issued in OH
Practice address
3109 Mayfield Rd Ste 204
Cleveland Heights, OH 44118-1726
Phone
(440) 591-4366
NPI assigned
Jun 1, 2017
Last updated
Apr 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Marriage & Family Therapist 106H00000X M.1800091 OH
Marriage & Family Therapist 106H00000X F.2100218 OH Primary

Addresses

Primary practice location

3109 Mayfield Rd Ste 204
Cleveland Heights, OH 44118-1726

Mailing address

5910 Som Center Rd
Solon, OH 44139-2350
Phone (318) 458-3044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709000183 OH Practitioner - Marriage and Family Therapist 9830634492 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
F.2100218OHMDMarriage & Family Therapist
M.1800091OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfulness-Counseling CurrentSince May 8, 2024 Accepting new patients

Locations

3109 Mayfield Rd
Ste 204
Cleveland Hts, OH 44118
Phone (440) 591-4366

8500 Station St
Ste 102
Mentor, OH 44060
Phone (216) 245-7811

13940 Cedar Rd
University Hts, OH 44118
Phone (216) 246-9670

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1265960454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 SOM CENTER RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392350",
            "telephone_number": "318-458-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 MAYFIELD RD STE 204",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181726",
            "telephone_number": "440-591-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ABIGAIL",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.1800091",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.2100218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

Verify at the official NPI Registry.