NPIMap

Organization Active NPI

Faithworks Trauma Counseling and Consulting, LLC

  • Mental Health Counselor
  • Independence, OH
National Provider Identifier
1316531478
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAITHWORKS TRAUMA COUNSELING AND CONSULTING, LLC
Practice address
5502 E Schaaf Rd.
Independence, OH 44131-4413
Phone
(440) 823-9996
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Mrs. Katrina Williams, LPCC-SNPI 1437771797
Title
Owner
Phone
(440) 823-9996

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5502 E Schaaf Rd.
Independence, OH 44131-4413

Mailing address

6509 Brecksville Rd.
PO Box 6509
Independence, OH 44131
Phone (440) 823-9996

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address www.info@faithworkstcc.com Direct

National Provider Directory

National Provider Directory

Locations

5502 E Schaaf Rd
Independence, OH 44131
Phone (440) 823-9996

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1316531478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 BRECKSVILLE RD.",
            "address_2": "PO BOX 6509",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "44131",
            "telephone_number": "440-823-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 E SCHAAF RD.",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441314413",
            "telephone_number": "440-823-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHWORKS TRAUMA COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-823-9996",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "www.info@faithworkstcc.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA secure messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure messaging",
            "address_1": "5502 E Schaaf Rd.",
            "city": "Independence",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441314413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.