James Alexis Konnoff, LCDCII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCDCII.151078 Issued in OH

Practice address

209 Center St
Chardon, OH 44024-1189

Phone

(440) 205-2670

Fax

(440) 285-8543

NPI assigned

Mar 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1356872733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 MORRIS RD",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404422",
            "telephone_number": "435-691-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CENTER ST",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241189",
            "telephone_number": "440-205-2670",
            "fax_number": "440-285-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONNOFF",
        "first_name": "JAMES",
        "middle_name": "ALEXIS",
        "name_prefix": "Mr.",
        "credential": "LCDCII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCII.151078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griffin Leigh Koelsch
• Anoshe Shaheen Kokikheil, D.O
• Emily Rose Kolacz
• Kelly Kolberg
• Kimberly A Komertz, RN
• Alyssa Victoria Kopp, LSW
• Alisa Korn, PT, DPT, CSCS
• Diane Kornblum
• Madeline Korth, LISW
• Bianca Marie Kostranchuk, O.D.

• Addiction (Substance Use Disorder) Counselor in Chardon, OH
• Providers in Chardon, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.