Individual provider Active NPI

Christina Faith Palangio, LPCC-S

  • Professional Counselor
  • Cleveland, OH
National Provider Identifier
1558631895
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0900319SUPV Issued in OH
Practice address
11529 Buckeye Rd
Cleveland, OH 44104-3838
Phone
(216) 456-8600
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.0900319 OH
Professional Counselor 101YP2500X E.0900319SUPV OH Primary

Addresses

Primary practice location

11529 Buckeye Rd
Cleveland, OH 44104-3838

Mailing address

11771 Jason Ave
Painesville, OH 44077-9515
Phone (412) 298-9975

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
I20240103002065 OH Practitioner - Mental Health Counselor 7810347879 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.0900319OHMDProfessional Counselor
E.0900319SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Services for Homeless Persons, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1744 Payne Ave
Cleveland, OH 44114
Phone (216) 361-8640

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.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1558631895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11771 JASON AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440779515",
            "telephone_number": "412-298-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11529 BUCKEYE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043838",
            "telephone_number": "216-456-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANGIO",
        "first_name": "CHRISTINA",
        "middle_name": "FAITH",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0900319",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0900319SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.