Active NPI
Melissa E Coan, LPCC
- Professional Counselor
- Brunswick, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2203023
- Practice address
- 1839 Pearl Rd Ste 101
Brunswick, OH 44212-3256 - Phone
- (330) 220-9679
- NPI assigned
- Jul 25, 2011
- Last updated
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0501110 | OH | |
| Counselor | 101Y00000X | C0501110 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 021164 | OH | |
| Professional Counselor | 101YP2500X | E.2203023 | OH | Primary |
Addresses
Primary practice location
1839 Pearl Rd Ste 101
Brunswick, OH 44212-3256
Mailing address
1839 Pearl Rd Ste 101
Brunswick, OH 44212-3256
Phone (440) 379-0942
Other practice location 1
23360 Chagrin Blvd Ste 102
Beachwood, OH 44122-5537
Phone (440) 679-2087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202421 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Hello@infinitycounseling.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1839 Pearl Rd
Suite 101
Brunswick, OH 44212-3256
Phone (330) 220-9679
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0501110 | OH | MD | Counselor |
| C0501110 | OH | MD | Counselor |
| 021164 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.2203023 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Counseling, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Cleveland Family Therapy LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
1839 Pearl Rd
Ste 101
Brunswick, OH 44212
Phone (212) 273-8555
30575 Euclid Ave
Willoughby Hills, OH 44092
Phone (440) 516-3776
Interoperability endpoints
- hello@infinitycounseling.org
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.
-
- Mental Health Counselor
- Brunswick, OH
- NPI 1386019438
Addiction (Substance Use Disorder)
-
- Professional Counselor
- Beachwood, OH
- NPI 1710228614
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1376821348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 PEARL RD STE 101",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442123256",
"telephone_number": "440-379-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 PEARL RD STE 101",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442123256",
"telephone_number": "330-220-9679"
}
],
"practiceLocations": [
{
"address_1": "23360 Chagrin Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Beachwood",
"state": "OH",
"postal_code": "441225537",
"country_code": "US",
"telephone_number": "440-679-2087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COAN",
"first_name": "MELISSA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "0501110",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C0501110",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "021164",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2203023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0202421",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Hello@infinitycounseling.org",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1839 Pearl Rd Ste 101",
"city": "Brunswick",
"state": "OH",
"country_code": "US",
"postal_code": "442123256",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brunswick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.