Organization Active NPI

Cherry Blossom Counseling LLC

  • Community/Behavioral Health Agency
  • Tallmadge, OH
National Provider Identifier
1326818840
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHERRY BLOSSOM COUNSELING LLC
Practice address
223 Northwest Ave Unit a
Tallmadge, OH 44278-1846
Phone
(330) 221-9514
NPI assigned
Jan 5, 2024
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Jennifer Anders, LPCC-SNPI 1124493705
Title
Owner
Phone
(330) 221-9514

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

223 Northwest Ave Unit a
Tallmadge, OH 44278-1846

Mailing address

223 Northwest Ave Unit a
Tallmadge, OH 44278-1846
Phone (330) 221-9514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260528002039 OH Part B Supplier - Clinic/Group Practice 4486124716 Receives reassigned benefits from 1 practitioner
Practice locations: Tallmadge, OH

National Provider Directory

National Provider Directory

Locations

223 Northwest Ave
Ste 1A
Tallmadge, OH 44278

223 Northwest Ave
Unit A
Tallmadge, OH 44278
Phone (330) 221-9514

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1326818840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 NORTHWEST AVE UNIT A",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781846",
            "telephone_number": "330-221-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 NORTHWEST AVE UNIT A",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781846",
            "telephone_number": "330-221-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY BLOSSOM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-221-9514",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.