Organization Active NPI

Your Story Counseling Services, LLC

  • Professional Counselor
  • Akron, OH
National Provider Identifier
1508418815
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
YOUR STORY COUNSELING SERVICES, LLC
Practice address
520 S Main St Ste 2511-22
Akron, OH 44311-1072
Phone
(330) 687-4439
Fax
(330) 319-6592
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Gina Matie Laterza, LPCC-S, LICDCNPI 1508040742
Title
Owner
Phone
(330) 687-4439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

520 S Main St Ste 2511-22
Akron, OH 44311-1072

Mailing address

520 S Main St Ste 2511-22
Akron, OH 44311-1072
Phone (330) 687-4439

Other identifiers 1

IdentifierTypeStateIssuer
0216792MedicaidOH

National Provider Directory

National Provider Directory

Locations

520 S Main St
Ste 251122
Akron, OH 44311
Phone (330) 687-4439

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1508418815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S MAIN ST STE 2511-22",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111072",
            "telephone_number": "330-687-4439",
            "fax_number": "330-319-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S MAIN ST STE 2511-22",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111072",
            "telephone_number": "330-687-4439",
            "fax_number": "330-319-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR STORY COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "LATERZA",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-687-4439",
        "authorized_official_credential": "LPCC-S, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0216792",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.