Individual provider Active NPI

Cara Kless, LPCC

  • Counselor
  • Mentor, OH
National Provider Identifier
1477066470
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.1901274 Issued in OH
Practice address
8500 Station St Ste 300J
Mentor, OH 44060-4963
Phone
(216) 264-9688
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1901274 OH
Counselor 101Y00000X E.1901274 OH Primary

Addresses

Primary practice location

8500 Station St Ste 300J
Mentor, OH 44060-4963

Mailing address

8500 Station St Ste 300J
Mentor, OH 44060-4963
Phone (216) 264-9688

Other practice location 1

12620 Larchmere Blvd
Cleveland, OH 44120-1110
Phone (216) 264-9688

Other identifiers 1

IdentifierTypeStateIssuer
0250956MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8500 Station St
Suite 300J
Mentor, OH 44060-4968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1901274OHMDCounselor
1901274OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1477066470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 STATION ST STE 300J",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604963",
            "telephone_number": "216-264-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 STATION ST STE 300J",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604963",
            "telephone_number": "216-264-9688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12620 Larchmere Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441201110",
            "country_code": "US",
            "telephone_number": "216-264-9688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLESS",
        "first_name": "CARA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "1901274",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.1901274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250956",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.