Organization Active NPI

Infinity Counseling, LLC

  • Mental Health Counselor
  • Brunswick, OH
National Provider Identifier
1386019438
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INFINITY COUNSELING, LLC
Practice address
1839 Pearl Rd
202
Brunswick, OH 44212-3256
Phone
(330) 220-9679
Fax
(844) 630-5832
NPI assigned
Dec 1, 2015
Last updated
Dec 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Mrs. Sherry L. Snyder
Title
Office Manager
Phone
(216) 965-4745

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

1839 Pearl Rd
202
Brunswick, OH 44212-3256

Mailing address

1839 Pearl Rd
202
Brunswick, OH 44212-3256
Phone (330) 220-9679

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160216002304 OH Part B Supplier - Clinic/Group Practice 0648575480 Receives reassigned benefits from 5 practitioners
Practice locations: Alliance, OH; Brunswick, OH; Fairview Park, OH; Huron, OH; Rootstown, OH; Stow, OH

National Provider Directory

National Provider Directory

Locations

1840 W State St
Ste 140
Alliance, OH 44601

2371 W State St
Ste A
Alliance, OH 44601
Phone (330) 536-7461

960 W State St
Ste 140
Alliance, OH 44601

1839 Pearl Rd
Ste 101
Brunswick, OH 44212
Phone (212) 273-8555

1839 Pearl Rd
Ste 202
Brunswick, OH 44212

20939 Lorain Rd
Fairview Park, OH 44126

30575 Euclid Ave
Willoughby Hills, OH 44092
Phone (440) 516-3776

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1386019438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 PEARL RD",
            "address_2": "202",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123256",
            "telephone_number": "330-220-9679",
            "fax_number": "844-630-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 PEARL RD",
            "address_2": "202",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123256",
            "telephone_number": "330-220-9679",
            "fax_number": "844-630-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "216-965-4745",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 1, 2015; 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.