Avital Abir, CT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.2405794-TRNE Issued in OH

Practice address

25101 Chagrin Blvd
Beachwood, OH 44122-5643

Phone

(216) 831-6611

NPI assigned

Oct 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Avital Mintz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1477373561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24326 MAIDSTONE LN",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221606",
            "telephone_number": "561-306-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 CHAGRIN BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225643",
            "telephone_number": "216-831-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIR",
        "first_name": "AVITAL",
        "credential": "CT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2405794-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVITAL",
            "last_name": "MINTZ",
            "prefix": "MRS.",
            "credential": "CT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hamid Abbas
• Hala Abdelaal
• Ali Abdulmahdi
• Laura Jane Abels, R.N., PMHCNS-BC
• Madison Abercrombie
• Able House LLC
• Mahmoud M Abou El Soud, M.D.
• Lori Abraham, PT
• Stella T Abraham
• Samir Abraksia, M.D.

• Mental Health Counselor in Beachwood, OH
• Providers in Beachwood, 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 Oct 14, 2024; 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.