Megan Mitcheltree

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C.1901763-TRNE

Practice address

695 South St Ste 6
Chardon, OH 44024-1474

Phone

(440) 286-1553

Fax

(440) 286-1318

NPI assigned

Jun 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/familyprideonline/r4/

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.

• Family Pride of Northeast Ohio Incorporated

  • Community/Behavioral Health Agency
  • Chardon, OH
  • NPI 1427013556
  NPD (past)
• Family Pride of Northeast Ohio Incorporated

  • Community/Behavioral Health Agency
  • Chardon, OH
  • NPI 1881049807
  NPD (past)

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1356909634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 SOUTH ST STE 6",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241474",
            "telephone_number": "440-286-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 SOUTH ST STE 6",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241474",
            "telephone_number": "440-286-1553",
            "fax_number": "440-286-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELTREE",
        "first_name": "MEGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "C.1901763-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmitcheltree@familyprideonline.org",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Family Pride of Northeast Ohio Incorporated",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "695 South St Ste 6",
            "city": "Chardon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440241474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ellery Mills, CT
• Minute Clinic
• David Mirsky
• Arslan Farhat Mirza, MD
• Nancy Mitchell
• MJM Zoom Consulting
• Tressa Jordan Molinar
• Meredith Moller, DO
• Dustin Molyneux
• Renee R Molzon, MSSA, LISW

• Counselor in Chardon, OH
• Providers in Chardon, OH by specialty
• Counselor in Ohio

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