Individual provider Active NPI

Elizabeth Hartland

  • Mental Health Counselor
  • Brookpark, OH
National Provider Identifier
1366299497
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2405736-TRNE Issued in OH
Practice address
5555 Smith Rd
Brookpark, OH 44142-2028
Phone
(216) 598-2710
NPI assigned
May 6, 2024
Last updated
May 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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 C.2405736-TRNE OH Primary

Addresses

Primary practice location

5555 Smith Rd
Brookpark, OH 44142-2028

Mailing address

5445 Smith Rd
Brookpark, OH 44142-2026
Phone (216) 598-2710

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4811 Bridge Ave
Cleveland, OH 44102-3311

795 Sharon Dr
Suite 206
Westlake, OH 44145-1542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2405736-TRNEOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reach Counseling Services Past Accepting new patients

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, 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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1366299497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 SMITH RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441422026",
            "telephone_number": "216-598-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 SMITH RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441422028",
            "telephone_number": "216-598-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLAND",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2405736-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookpark, OH

Sources for this page

Verify at the official NPI Registry.