Individual provider Active NPI

Elizabeth Nekoloff, LPC

  • Mental Health Counselor
  • North Ridgeville, OH
National Provider Identifier
1508314360
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C. 0029284 Issued in OH
Practice address
32000 Cottonwood CRST
North Ridgeville, OH 44039-6399
Phone
(216) 403-4899
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C. 0029284 OH Primary

Addresses

Primary practice location

32000 Cottonwood CRST
North Ridgeville, OH 44039-6399

Mailing address

32000 Cottonwood CRST
North Ridgeville, OH 44039-6399
Phone (216) 403-4899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320002586 OH Practitioner - Mental Health Counselor 8820435381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C. 0029284OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Jan 1, 2024 Accepting new patients
The Metrohealth System CurrentSince Jan 1, 2024 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

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.

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1508314360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32000 COTTONWOOD CRST",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440396399",
            "telephone_number": "216-403-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32000 COTTONWOOD CRST",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440396399",
            "telephone_number": "216-403-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEKOLOFF",
        "first_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C. 0029284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

Verify at the official NPI Registry.