North Coast Family Foundation

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E110489 Issued in OH

Legal business name

NORTH COAST FAMILY FOUNDATION

Practice address

13800 Bagley Rd
Middleburg Heights, OH 44130-6760

Phone

(216) 978-5183

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn Sue Rodecker, LPCC, LCDCIII

Title

Licensed Clinical Counselor

Phone

(440) 842-6867

Specialties & licenses 1

Addresses

Other names 1

• DBA Carolyn Rodecker Doing business as

Tax ID family

Dba Carolyn Rodecker2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Coast Family Foundation

  • Psychologist
  • Middleburg Heights, OH
  • NPI 1013959238
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles F Misja, PH.D.

  • Psychologist
  • Parma HTS, OH
  • NPI 1851337679
  NPD

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1356718142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306760",
            "telephone_number": "216-978-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306760",
            "telephone_number": "216-978-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST FAMILY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "RODECKER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "LICENSED CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "440-842-6867",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC, LCDCIII"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E110489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Carolyn Rodecker",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Joseph Newman, PA-C
• Lindsay Nguyen, LISW
• Sarah D Nicholson
• North Coast Eye Surgery LLC
• North Coast Family Foundation
• North East Ohio Group Practice LLC
• North Star Medical Research, LLC
• Jonathan Issac Noury, MSPT
• Andrea Novak, C.R.N.A.
• Nicholas Theodore Novak, LPC

• Professional Counselor in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.