Paw Meadows LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.0800239 Issued in OH

Legal business name

PAW MEADOWS LLC

Practice address

1133 Granger Rd
Medina, OH 44256-8478

Phone

(330) 542-8555

NPI assigned

Sep 7, 2018

Last updated

Sep 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Knobloch, LPCC-S

Title

Owner

Phone

(330) 542-8555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1497238380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5235",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443340235",
            "telephone_number": "330-542-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 GRANGER RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568478",
            "telephone_number": "330-542-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAW MEADOWS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "KNOBLOCH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-542-8555",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0800239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Medina, OH
• Providers in Medina, 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 Sep 7, 2018; 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.