Active NPI
Caleb William-Thomas Folkerts, LPCC
- Professional Counselor
- Austintown, OH
National Provider Identifier
1326691403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1800941
- Practice address
- 25 N Canfield Niles Rd
Austintown, OH 44515-2328 - Phone
- (330) 449-0694
- NPI assigned
- Jul 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OH | ||
| Professional Counselor | 101YP2500X | E.1800941 | OH | Primary |
Addresses
Primary practice location
25 N Canfield Niles Rd
Austintown, OH 44515-2328
Mailing address
1501 Fountain Square Dr Apt 18A5
Austintown, OH 44515-4670
Phone (618) 973-1889
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | caleb.folkerts@gmail.com | Other |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14837 Detroit Ave
Suite 193
Lakewood, OH 44107-3909
Phone (216) 302-4077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1800941 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Behavioral Health LLC | Mental Health | Current | Accepting new patients |
| Washington Wellness Institute, LLC | Mental Health | Current | Accepting new patients |
Locations
780 E 185th St
Cleveland, OH 44119
Phone (216) 302-4077
14837 Detroit Ave
Lakewood, OH 44107
Phone (216) 952-1490
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.
-
- Mental Health Counselor
- Lakewood, OH
- NPI 1700407517
-
- Mental Health Counselor
- Cleveland, OH
- NPI 1871155176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1326691403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 FOUNTAIN SQUARE DR APT 18A5",
"city": "AUSTINTOWN",
"state": "OH",
"postal_code": "445154670",
"telephone_number": "618-973-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N CANFIELD NILES RD",
"city": "AUSTINTOWN",
"state": "OH",
"postal_code": "445152328",
"telephone_number": "330-449-0694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLKERTS",
"first_name": "CALEB",
"middle_name": "WILLIAM-THOMAS",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-18",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1800941",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "caleb.folkerts@gmail.com",
"affiliation": "N",
"endpointDescription": "direct email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "direct messaging",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "25 N Canfield Niles Rd",
"city": "Austintown",
"state": "OH",
"country_code": "US",
"postal_code": "445152328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austintown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.