Individual provider Active NPI

Christine O'Brien

  • Mental Health Counselor
  • Fairlawn, OH
National Provider Identifier
1356979330
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3550 Ridgewood Rd
Fairlawn, OH 44333-3122
Phone
(216) 407-6278
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3550 Ridgewood Rd
Fairlawn, OH 44333-3122

Mailing address

156 Wichita PL
Akron, OH 44313-6527

Other practice location 1

6500 Pearl Rd Ste 201
Parma, OH 44130-3814
Phone (216) 276-2452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318000670 OH Practitioner - Mental Health Counselor 6507203205 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hull Institute, LLC CurrentSince Jan 22, 2024 Accepting new patients

Locations

3681 Green Rd
Ste 406
Beachwood, OH 44122
Phone (216) 407-6278

23215 Commerce Park
Ste 205B
Beachwood, OH 44122
Phone (216) 407-6278

20545 Center Ridge Rd
Ste 400
Rocky River, OH 44116
Phone (216) 407-6278

15300 Pearl Rd
Ste 120
Strongsville, OH 44136
Phone (216) 407-6278

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.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1356979330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WICHITA PL",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 RIDGEWOOD RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333122",
            "telephone_number": "216-407-6278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 Pearl Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441303814",
            "country_code": "US",
            "telephone_number": "216-276-2452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.