Peter Rudolph George

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

557 E Dawnwood Dr
Seven Hills, OH 44131-2408

Phone

(216) 210-3447

NPI assigned

Jul 28, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1275187361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 E DAWNWOOD DR",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441312408",
            "telephone_number": "216-210-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 E DAWNWOOD DR",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441312408",
            "telephone_number": "216-210-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "PETER",
        "middle_name": "RUDOLPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-28",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pgeorge14@mail.bw.edu",
            "affiliation": "Y",
            "affiliationName": "I Matter Counseling & Empowerment Services, Inc.",
            "address_1": "5500 Laurent Dr Apt 711",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441294556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.