Individual provider Active NPI

Caleb William-Thomas Folkerts, LPCC

  • Professional Counselor
  • Austintown, OH
National Provider Identifier
1326691403
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1800941 Issued in OH
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

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507000510 OH Practitioner - Mental Health Counselor 6103282306 Reassigns benefits to 1 organization

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
Cornerstone Behavioral Health LLCGroup PAC ID 4385000587, 6 clinicians

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

LicenseStateTypeSpecialty
E.1800941OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Behavioral Health LLC Mental Health CurrentSince Mar 31, 2020 Accepting new patients
Washington Wellness Institute, LLC Mental Health CurrentSince Apr 3, 2024 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.

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

Verify at the official NPI Registry.