Vladimir V Mordashov, LPCC
Individual provider Active NPI Professional Counselor · Richfield, OH
NPI 1275112930 · NPPES record last updated Sep 13, 2024
Key facts
- NPI
- 1275112930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- E.2404650 (OH)
- Practice address
- 3928 Brecksville Rd
Richfield, OH 44286-9627 - Phone
- (216) 440-1973
- NPI assigned
- Apr 7, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.2404650 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shumay Counseling Services, LLC | Professional | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.2404650 | OH | Yes |
Addresses
Primary practice location
3928 Brecksville Rd
Richfield, OH 44286-9627
Mailing address
152 Puffin Pointe Dr
Medina, OH 44256-7881
Phone (330) 416-9486
Other practice location 1
801 E Washington St Ste 150
Medina, OH 44256-3336
Phone (330) 722-1069
Other providers in Richfield, OH
- Gabrielle J McMahon
- Gail McPeake
- Michael Ivan Medgyessy
- Randall Moate
- Paula Moorman
- Daniel Joseph Morgano
- Kimberly E Mull
- Anna L Myers
- Amanda May Sasala Nelson
- Jillian Gail Nester
All providers in Richfield, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.