Donard Idada, LISW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

20525 Detroit Rd Ste 4
Rocky River, OH 44116

Phone

(216) 566-4018

NPI assigned

Oct 1, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Self Care Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rocky River, OH
  • NPI 1821675075
  NPD Authorized official

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1467703306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450924",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441450621",
            "telephone_number": "216-566-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 DETROIT RD STE 4",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "44116",
            "telephone_number": "216-566-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDADA",
        "first_name": "DONARD",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Hovanic, LISW-S
• Jeffrey David Hower II, ATC
• Natalia Hryniewicz, APRN
• Andrea Poet Hudson
• Elana Hunter
• Katherine Ingleright
• Innovative Perspectives, Inc.
• Irina Bransteter LLC
• Jag Medical Transport
• Jensam LLC

• Mental Health Counselor in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.