Active NPI
Cheryl A. Wilson, LPCC
- Counselor
- Mentor, OH
National Provider Identifier
1407224306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E.1100303
- Practice address
- 9220 Mentor Ave
Beacon Health
Mentor, OH 44060-6412 - Phone
- (440) 639-3509
- Fax
- (440) 205-1009
- NPI assigned
- Sep 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | E.1100303 | OH | Primary |
Addresses
Primary practice location
9220 Mentor Ave
Beacon Health
Mentor, OH 44060-6412
Mailing address
9220 Mentor Ave
Beacon Health
Mentor, OH 44060-6412
Phone (440) 639-3509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1100303 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1407224306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 MENTOR AVE",
"address_2": "BEACON HEALTH",
"city": "MENTOR",
"state": "OH",
"postal_code": "440606412",
"telephone_number": "440-639-3509",
"fax_number": "440-205-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 MENTOR AVE",
"address_2": "BEACON HEALTH",
"city": "MENTOR",
"state": "OH",
"postal_code": "440606412",
"telephone_number": "440-639-3509",
"fax_number": "440-205-1009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CHERYL",
"middle_name": "A.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E.1100303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.