Active NPI
Charles Michael Sabaka, LPCC
- Counselor
- Canton, OH
National Provider Identifier
1336253079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E0002100
- Practice address
- 3118 Cleveland Ave NW
Canton, OH 44709-2813 - Phone
- (330) 492-9913
- Fax
- (330) 492-6561
- NPI assigned
- Aug 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | E0002100 | OH | Primary |
Addresses
Primary practice location
3118 Cleveland Ave NW
Canton, OH 44709-2813
Mailing address
129 34TH St NW
Canton, OH 44709
Phone (330) 493-6291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0002100 | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard a George PHD Inc | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Canton, OH
- NPI 1053425652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336253079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 34TH ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "44709",
"telephone_number": "330-493-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3118 CLEVELAND AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447092813",
"telephone_number": "330-492-9913",
"fax_number": "330-492-6561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABAKA",
"first_name": "CHARLES",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E0002100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.