Active NPI
Angela Grey, LPCC
- Professional Counselor
- Geneva, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.0800306
- Practice address
- 2968 N County Line Rd
Geneva, OH 44041-7602 - Phone
- (216) 402-6627
- NPI assigned
- Nov 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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.
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Psychological and Behavioral Consultants LLC
Practice addresses (Care Compare)
34900 Chardon Rd
Suite 200
Willoughby Hills, OH 44094-9161
Phone (440) 951-5600
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240312003857 | OH | Practitioner - Mental Health Counselor | 8022454073 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.0800306 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468
9500 Mentor Ave
Ste 220
Mentor, OH 44060
Phone (440) 357-7100
25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520
34900 Chardon Rd
Ste 200
Willoughby Hills, OH 44094
Phone (440) 951-5600
Interoperability endpoints
- pbc.angelagrey@140094.advancedmd-direct.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | C.0800306 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2968 N County Line Rd
Geneva, OH 44041-7602
Mailing address
2968 N County Line Rd
Geneva, OH 44041-7602
Phone (216) 402-6627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2024.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1538445697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2968 N COUNTY LINE RD",
"city": "GENEVA",
"state": "OH",
"postal_code": "440417602",
"telephone_number": "216-402-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2968 N COUNTY LINE RD",
"city": "GENEVA",
"state": "OH",
"postal_code": "440417602",
"telephone_number": "216-402-6627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREY",
"first_name": "ANGELA",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.0800306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.