Organization Active NPI

New Beginnings Eating Disorders Center, LLC

  • Professional Counselor
  • Fairlawn, OH
National Provider Identifier
1316270119
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0002133 Issued in OH
Legal business name
NEW BEGINNINGS EATING DISORDERS CENTER, LLC
Practice address
3632 W Market St
Suite 104 West
Fairlawn, OH 44333-2494
Phone
(330) 666-5004
Fax
(330) 666-5001
NPI assigned
Sep 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Mrs. Carolyn Irene Pickler, MA; PCC-SNPI 1669567046
Title
Executive Director/Owner
Phone
(330) 666-5004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X E0002133 OH Primary

Addresses

Primary practice location

3632 W Market St
Suite 104 West
Fairlawn, OH 44333-2494

Mailing address

3632 W Market St
Suite 104 West
Fairlawn, OH 44333-2494
Phone (330) 666-5004

National Provider Directory

National Provider Directory

Locations

3632 W Market St
Ste 104
Fairlawn, OH 44333
Phone (330) 666-5004

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": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1316270119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 W MARKET ST",
            "address_2": "SUITE 104 WEST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332494",
            "telephone_number": "330-666-5004",
            "fax_number": "330-666-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 W MARKET ST",
            "address_2": "SUITE 104 WEST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332494",
            "telephone_number": "330-666-5004",
            "fax_number": "330-666-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS EATING DISORDERS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "PICKLER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "330-666-5004",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA; PCC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0002133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.