Individual provider Active NPI

Michael S Rodio, LSW, LPCC

  • Mental Health Counselor
  • Beachwood, OH
National Provider Identifier
1366687972
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0002536 Issued in OH
Practice address
24200 Chagrin Blvd
Beachwood, OH 44122-5550
Phone
(216) 831-6466
Fax
(216) 766-6084
NPI assigned
Dec 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E0002536 OH Primary
Social Worker 104100000X S0009271 OH

Addresses

Primary practice location

24200 Chagrin Blvd
Beachwood, OH 44122-5550

Mailing address

24200 Chagrin Blvd
Beachwood, OH 44122-5550
Phone (216) 831-6466

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
I20240108004071 OH Practitioner - Mental Health Counselor 8224489877 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0002536OHMDMental Health Counselor
S0009271OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Health Inc CurrentSince Jan 1, 2024 Accepting new patients
Signature Health, Inc. Mental Health Current Accepting new patients
Signature Health, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

24200 Chagrin Blvd
Beachwood, OH 44122

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

38882 Mentor Ave
Willoughby, OH 44094

Organizations & group practices 3

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": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1366687972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24200 CHAGRIN BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225550",
            "telephone_number": "216-831-6466",
            "fax_number": "216-766-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24200 CHAGRIN BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225550",
            "telephone_number": "216-831-6466",
            "fax_number": "216-766-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIO",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LSW, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0002536",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0009271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.