Individual provider Active NPI

Patricia Galbraith, LPCC-S

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1417299306
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1200078-SUPV Issued in OH
Practice address
380 S Portage Path
Akron, OH 44320-2326
Phone
(330) 434-4141
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X OH
Addiction (Substance Use Disorder) Counselor 101YA0400X E.1200078-SUPV OH
Community/Behavioral Health Agency 251S00000X C.1200078 OH
Mental Health Counselor 101YM0800X E.1200078-SUPV OH Primary

Addresses

Primary practice location

380 S Portage Path
Akron, OH 44320-2326

Mailing address

725 E Market St
Akron, OH 44305-2421
Phone (330) 434-4141

Other practice location 1

4429 Fulton Dr NW Ste 170
Canton, OH 44718-2867
Phone (330) 354-2205

Other identifiers 1

IdentifierTypeStateIssuer
E.1200078-SUPVOtherOHCOUNSELOR, SOCIAL WORKER & MFT BOARD

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
I20240724003187 OH Practitioner - Mental Health Counselor 5991241127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Drug Board, IncGroup PAC ID 8022061142, 11 clinicians

Practice addresses (Care Compare)

725 E Market St
Akron, OH 44305-2421
Phone (330) 434-4141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1200078-SUPVOHMDAddiction (Substance Use Disorder) Counselor
C.1200078OHMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Community Drug Board, Inc CurrentSince May 1, 2024 Accepting new patients
Community Drug Board, Inc CurrentSince May 1, 2024 Accepting new patients
Community Drug Board, Inc Community/Behavioral Health Current Accepting new patients

Locations

725 E Market St
Akron, OH 44305
Phone (330) 434-4141

380 S Portage Path
Akron, OH 44320
Phone (330) 315-4901

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1417299306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052421",
            "telephone_number": "330-434-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S PORTAGE PATH",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202326",
            "telephone_number": "330-434-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4429 Fulton Dr NW Ste 170",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182867",
            "country_code": "US",
            "telephone_number": "330-354-2205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALBRAITH",
        "first_name": "PATRICIA",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E.1200078-SUPV",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "C.1200078",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1200078-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR,  SOCIAL WORKER & MFT BOARD",
            "identifier": "E.1200078-SUPV",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.