Organization Active NPI

Brookside Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mayfield Heights, OH
National Provider Identifier
1326817107
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BROOKSIDE COUNSELING LLC
Practice address
6426 Longridge Rd
Mayfield Heights, OH 44124-4144
Phone
(513) 227-2378
NPI assigned
Dec 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Rachel Poe, LPCCNPI 1912487463
Title
Clinical Counselor
Phone
(513) 227-2378

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

6426 Longridge Rd
Mayfield Heights, OH 44124-4144

Mailing address

6426 Longridge Rd
Mayfield Heights, OH 44124-4144
Phone (513) 227-2378

National Provider Directory

National Provider Directory

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": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1326817107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 LONGRIDGE RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244144",
            "telephone_number": "513-227-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 LONGRIDGE RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244144",
            "telephone_number": "513-227-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "513-227-2378",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.