Organization Active NPI

Western Reserve Counseling Service, Inc.

  • Mental Health Counselor
  • Painesville, OH
National Provider Identifier
1285687897
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
103 Issued in OH
Legal business name
WESTERN RESERVE COUNSELING SERVICE, INC.
Practice address
1 Victoria PL
Suite 105
Painesville, OH 44077-3406
Phone
(440) 352-8954
Fax
(440) 352-0351
NPI assigned
May 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Vincent P. Pinto, LISW, ACSW, BCDNPI 1427261064
Title
Executive Director
Phone
(440) 352-8954

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 Counselor 101YM0800X 103 OH Primary

Addresses

Primary practice location

1 Victoria PL
Suite 105
Painesville, OH 44077-3406

Mailing address

1 Victoria PL
Suite 105
Painesville, OH 44077-3406
Phone (440) 352-8954

Other identifiers 1

IdentifierTypeStateIssuer
MC2506MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285687897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VICTORIA PL",
            "address_2": "SUITE 105",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773406",
            "telephone_number": "440-352-8954",
            "fax_number": "440-352-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VICTORIA PL",
            "address_2": "SUITE 105",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773406",
            "telephone_number": "440-352-8954",
            "fax_number": "440-352-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RESERVE COUNSELING SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINTO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-352-8954",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW, ACSW, BCD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC2506",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.