NPIMap

Individual provider Active NPI

Michael Tornow, MA, PCC

  • Counselor
  • North Canton, OH
National Provider Identifier
1457511461
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E004132 Issued in OH
Practice address
1303 W Maple St
Ste. 103
North Canton, OH 44720-2858
Phone
(330) 966-8677
Fax
(330) 966-6511
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E004132 OH Primary

Addresses

Primary practice location

1303 W Maple St
Ste. 103
North Canton, OH 44720-2858

Mailing address

1303 W Maple St
Ste. 103
North Canton, OH 44720-2858
Phone (330) 966-8677

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E004132OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Depot Inc Current Accepting new patients
N E Family Care Center Past Accepting new patients
NE Family Care Counseling Center Past Accepting new patients

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1457511461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 W MAPLE ST",
            "address_2": "STE. 103",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202858",
            "telephone_number": "330-966-8677",
            "fax_number": "330-966-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W MAPLE ST",
            "address_2": "STE. 103",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202858",
            "telephone_number": "330-966-8677",
            "fax_number": "330-966-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORNOW",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MA, PCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E004132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.