Active NPI
Gary Byron, LPCC-S AND IMFT
- Professional Counselor
- Beachwood, OH
National Provider Identifier
1508050055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0003203
- Practice address
- 24100 Chagrin Blvd
#400
Beachwood, OH 44122-5535 - Phone
- (216) 831-1040
- Fax
- (216) 831-2667
- NPI assigned
- Aug 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E . 0003203 | OH | |
| Marriage & Family Therapist | 106H00000X | F . 0000072 | OH | |
| Professional Counselor | 101YP2500X | E.0003203 | OH | Primary |
Addresses
Primary practice location
24100 Chagrin Blvd
#400
Beachwood, OH 44122-5535
Mailing address
25700 Science Park Drive, Suite 200
Landmark Centre.
Beachwood, OH 44122
Phone (216) 831-1040
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 . 0003203 | OH | MD | Mental Health Counselor |
| E.0003203 | OH | MD | Professional Counselor |
| F . 0000072 | OH | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weinstein & Associates Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Beachwood, OH
- NPI 1942252101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1508050055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25700 SCIENCE PARK DRIVE, SUITE 200",
"address_2": "LANDMARK CENTRE.",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "44122",
"telephone_number": "216-831-1040",
"fax_number": "216-831-2667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24100 CHAGRIN BLVD",
"address_2": "#400",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225535",
"telephone_number": "216-831-1040",
"fax_number": "216-831-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRON",
"first_name": "GARY",
"credential": "LPCC-S AND IMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-28",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E . 0003203",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "F . 0000072",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0003203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.