Individual provider Active NPI

Nadira Bartlebaugh, LPCC-S

  • Professional Counselor
  • Westlake, OH
National Provider Identifier
1407121510
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1000059-SUPV Issued in OH
Practice address
29055 Clemens Road
Suite a
Westlake, OH 44145-1135
Phone
(216) 450-1613
Fax
(216) 450-1614
NPI assigned
Mar 22, 2012
Last updated
Nov 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X E.1000059-SUPV OH
Mental Health Counselor 101YM0800X E.1000059-SUPV OH
Professional Counselor 101YP2500X E.1000059-SUPV OH Primary
Social Worker 104100000X NU

Addresses

Primary practice location

29055 Clemens Road
Suite a
Westlake, OH 44145-1135

Mailing address

25700 Science Park Dr Ste 210
Beachwood, OH 44122-7328
Phone (216) 450-1613

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
I20240123002894 OH Practitioner - Mental Health Counselor 5496107609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Recovery Concepts, LLCGroup PAC ID 5991005860, 37 clinicians

Practice addresses (Care Compare)

29055 Clemens Rd
Suite a
Westlake, OH 44145-1135
Phone (216) 450-1613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1000059-SUPVOHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Advanced Recovery Concepts LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Recovery Resources Past Accepting new patients
Recovery Resources Past Accepting new patients

Locations

25700 Science Park Dr
Ste 210
Beachwood, OH 44122
Phone (216) 452-1613

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

29055 Clemens Rd
#A
Westlake, OH 44145

Interoperability endpoints

  • Direct secure messaging: nbartlebaughlpccs248197@direct.ccf.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1407121510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25700 SCIENCE PARK DR STE 210",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227328",
            "telephone_number": "216-450-1613",
            "fax_number": "216-450-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29055 CLEMENS ROAD",
            "address_2": "SUITE A",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451135",
            "telephone_number": "216-450-1613",
            "fax_number": "216-450-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLEBAUGH",
        "first_name": "NADIRA",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E.1000059-SUPV",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1000059-SUPV",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1000059-SUPV",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.