Active NPI
Cynthia Pavlish, PCC
- Professional Counselor
- Warren, OH
National Provider Identifier
1487056552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0800336
- Practice address
- 552 N Park Ave
Warren, OH 44481-1117 - Phone
- (330) 394-8831
- Fax
- (330) 394-7241
- NPI assigned
- Sep 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0800336 | OH | Primary |
Addresses
Primary practice location
552 N Park Ave
Warren, OH 44481-1117
Mailing address
5982 Rhodes Rd
Kent, OH 44240-4128
Phone (330) 673-1347
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0800336 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coleman Professional Services, Inc. | Professional | Past | Accepting new patients |
| Spero Health of Ohio, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Zanesville, OH
- NPI 1346748563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411171200000",
"number": "1487056552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5982 RHODES RD",
"city": "KENT",
"state": "OH",
"postal_code": "442404128",
"telephone_number": "330-673-1347",
"fax_number": "330-678-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 N PARK AVE",
"city": "WARREN",
"state": "OH",
"postal_code": "444811117",
"telephone_number": "330-394-8831",
"fax_number": "330-394-7241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLISH",
"first_name": "CYNTHIA",
"credential": "PCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-20",
"last_updated": "2014-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0800336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.