Individual provider Active NPI

Megan Kaufman

  • Social Worker
  • Massillon, OH
National Provider Identifier
1326235706
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S-0030090 Issued in OH
Practice address
934 Amherst Rd NE
Massillon, OH 44646-4568
Phone
(330) 832-2427
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S-0030090 OH Primary

Addresses

Primary practice location

934 Amherst Rd NE
Massillon, OH 44646-4568

Mailing address

934 Amherst Rd NE
Massillon, OH 44646-4568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080313000745 OH Practitioner - Clinical Social Worker 5890870810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Avenues of Counseling and MediationGroup PAC ID 6406931880, 27 clinicians

Practice addresses (Care Compare)

843 N Cleveland-Massillon Rd
Suite 6
Fairlawn, OH 44333-9303
Phone (330) 723-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-0030090OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues of Counseling and Mediation CurrentSince Jan 9, 2020 Accepting new patients
Lisa Borchert Dba Avenues of Counseling PastSince Jan 9, 2020 Accepting new patients

Locations

843 N Cleveland Massillon Rd
Ste 9
Fairlawn, OH 44333

230 S Court St
Ste 5
Medina, OH 44256
Phone (330) 723-7977

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1326235706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 AMHERST RD NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 AMHERST RD NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464568",
            "telephone_number": "330-832-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S-0030090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.