Active NPI
Kathryn T. Ribovich, P.C.C.
- Professional Counselor
- Parma, OH
National Provider Identifier
1497179139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0008174
- Practice address
- 5868 Stumph Rd
Parma, OH 44130-1736 - Phone
- (440) 888-5407
- NPI assigned
- Feb 18, 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 | E0008174 | OH | Primary |
Addresses
Primary practice location
5868 Stumph Rd
Parma, OH 44130-1736
Mailing address
5108 Darrow Rd # 5
Hudson, OH 44236-5018
Phone (419) 699-2778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SK439363 | Medicaid | OH |
Other names 1
- Kathryn D Tissue
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 |
|---|---|---|---|
| E0008174 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Academy Management | Professional | Past | Accepting new patients |
| Summit Academy Community School Parma | 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.
-
- Local Education Agency (LEA)
- Parma, OH
- NPI 1184818627
-
dba Foundations Education Solutions
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1295882488
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1497179139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5108 DARROW RD # 5",
"city": "HUDSON",
"state": "OH",
"postal_code": "442365018",
"telephone_number": "419-699-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5868 STUMPH RD",
"city": "PARMA",
"state": "OH",
"postal_code": "441301736",
"telephone_number": "440-888-5407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIBOVICH",
"first_name": "KATHRYN",
"middle_name": "T.",
"credential": "P.C.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0008174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SK439363",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "TISSUE",
"middle_name": "D",
"credential": "P.C.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.