Individual provider Active NPI

Caitlin P Reilly

  • Mental Health Counselor
  • Elyria, OH
National Provider Identifier
1366174476
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2304801-TRNE Issued in OH
Practice address
312 3Rd St
Elyria, OH 44035-5618
Phone
(440) 323-5707
NPI assigned
Jun 28, 2022
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X C.2304801-TRNE OH Primary

Addresses

Primary practice location

312 3Rd St
Elyria, OH 44035-5618

Mailing address

312 3Rd St
Elyria, OH 44035-5618
Phone (440) 323-7507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2304801-TRNEOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling and Growth Center CurrentSince Apr 30, 2023 Accepting new patients
Pathways Counseling and Growth Center PastSince Apr 30, 2023 Accepting new patients

Locations

312 3rd St
Elyria, OH 44035
Phone (440) 323-5707

Interoperability endpoints

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1366174476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 3RD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355618",
            "telephone_number": "440-323-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 3RD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355618",
            "telephone_number": "440-323-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "CAITLIN",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2304801-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.