Active NPI
New Beginnings Eating Disorders Center, LLC
- Professional Counselor
- Fairlawn, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0002133
- 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
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-S
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Fairlawn, OH
- NPI 1669567046
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.