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

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
E.2404650OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shumay Counseling Services, LLC Professional Past
since Sep 1, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Richfield, OH · Professional Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.