Organization Active NPI

Kallous Minds Counseling LLC.

  • Professional Counselor
  • Cleveland, OH
National Provider Identifier
1295310670
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KALLOUS MINDS COUNSELING LLC.
Practice address
1966 E 84TH St
Cleveland, OH 44103-4264
Phone
(216) 262-9561
NPI assigned
Mar 16, 2021
Last updated
Mar 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Mr. Samuel Edward Kisner II, LPC, NCCNPI 1699399774
Title
Licensed Professional Counselor
Phone
(216) 262-9561

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
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1966 E 84TH St
Cleveland, OH 44103-4264

Mailing address

1966 E 84TH St
Cleveland, OH 44103-4264
Phone (216) 262-9561

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1295310670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 E 84TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034264",
            "telephone_number": "216-262-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 E 84TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034264",
            "telephone_number": "216-262-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALLOUS MINDS COUNSELING LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "KISNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "216-262-9561",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.