Organization Active NPI

Inter-Cept Consultant Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
National Provider Identifier
1467916809
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
INTER-CEPT CONSULTANT SERVICES, LLC
Practice address
13303 Beachwood Ave
Cleveland, OH 44105-6415
Phone
(216) 581-1662
Fax
(216) 581-4540
NPI assigned
Jan 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Cynthia Miller, LICDC-CSNPI 1609917855
Title
Ceo
Phone
(216) 402-0684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

13303 Beachwood Ave
Cleveland, OH 44105-6415

Mailing address

13303 Beachwood Ave
Cleveland, OH 44105-6415
Phone (216) 581-1662

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1467916809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 BEACHWOOD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441056415",
            "telephone_number": "216-581-1662",
            "fax_number": "216-581-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 BEACHWOOD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441056415",
            "telephone_number": "216-581-1662",
            "fax_number": "216-581-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTER-CEPT CONSULTANT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-402-0684",
        "authorized_official_credential": "LICDC-CS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 30, 2019; 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.