Individual provider Active NPI

Erich Josef Vonboeselager, PC

  • Mental Health Counselor
  • Cleveland, OH
National Provider Identifier
1427484914
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
OH-C.120005.PROV Issued in OH
Practice address
7800 Detroit Ave
Cleveland, OH 44102-2814
Phone
(216) 939-3709
Fax
(216) 631-3654
NPI assigned
Sep 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OH-C.120005.PROV OH Primary

Addresses

Primary practice location

7800 Detroit Ave
Cleveland, OH 44102-2814

Mailing address

3207 Meadowbrook Blvd Apt 8
Cleveland Heights, OH 44118-2951
Phone (216) 443-3358

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

LicenseStateTypeSpecialty
OH-C.120005.PROVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Corporation Past Accepting new patients

Organizations & group practices 1

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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1427484914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 MEADOWBROOK BLVD APT 8",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182951",
            "telephone_number": "216-443-3358",
            "fax_number": "216-631-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022814",
            "telephone_number": "216-939-3709",
            "fax_number": "216-631-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONBOESELAGER",
        "first_name": "ERICH",
        "middle_name": "JOSEF",
        "credential": "PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "OH-C.120005.PROV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.