Organization Active NPI

Geauga Counseling Services Inc.

  • Professional Counselor
  • Chagrin Falls, OH
National Provider Identifier
1376906289
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-1877 Issued in OH
Legal business name
GEAUGA COUNSELING SERVICES INC.
Practice address
549 Washington St
Chagrin Falls, OH 44022-4429
Phone
(440) 439-4511
Fax
(440) 439-4521
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Michael B. GuyerNPI 1174670343
Title
Owner
Phone
(440) 439-4511

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X E-1877 OH Primary

Addresses

Primary practice location

549 Washington St
Chagrin Falls, OH 44022-4429

Mailing address

18725 White Oak Dr
Chagrin Falls, OH 44023-2336
Phone (440) 708-1787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240419001495 OH Part B Supplier - Clinic/Group Practice 5294174512 Receives reassigned benefits from 1 practitioner
Practice locations: Chagrin Falls, OH

National Provider Directory

National Provider Directory

Locations

653 Broadway Ave
Ste 204
Bedford, OH 44146

549 Washington St
Chagrin Falls, OH 44022
Phone (440) 439-4511

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": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1376906289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18725 WHITE OAK DR",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440232336",
            "telephone_number": "440-708-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 WASHINGTON ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440224429",
            "telephone_number": "440-439-4511",
            "fax_number": "440-439-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEAUGA COUNSELING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "GUYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-439-4511"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-1877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.