Organization Active NPI

Fairmount Mental Wellness LLC

  • Mental Health Counselor
  • South Euclid, OH
National Provider Identifier
1366928863
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1700425 Issued in OH
Legal business name
FAIRMOUNT MENTAL WELLNESS LLC
Practice address
4497 Birchwold Rd
South Euclid, OH 44121-4215
Phone
(216) 435-1235
NPI assigned
Jul 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Mr. Richard Dempsey, LPCCNPI 1629329255
Title
Therapist/Owner
Phone
(216) 435-1235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X E.1700425 OH Primary

Addresses

Primary practice location

4497 Birchwold Rd
South Euclid, OH 44121-4215

Mailing address

4497 Birchwold Rd
South Euclid, OH 44121-4215
Phone (216) 435-1235

National Provider Directory

National Provider Directory

Locations

2460 Fairmount Blvd
Ste 317
Cleveland Hts, OH 44106
Phone (216) 299-7717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1366928863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4497 BIRCHWOLD RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214215",
            "telephone_number": "216-435-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4497 BIRCHWOLD RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214215",
            "telephone_number": "216-435-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMOUNT MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "216-435-1235",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1700425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.