Active NPI
Art of Introspection Counseling
- Adult Mental Health Clinic/Center
- Chagrin Falls, OH
National Provider Identifier
1588463418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- ART OF INTROSPECTION COUNSELING
- Practice address
- 18020 Stoney Brook CT
Chagrin Falls, OH 44023-4845 - Phone
- (440) 809-8306
- NPI assigned
- Mar 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carly Koller, LPCC
- Title
- Manager
- Phone
- (440) 809-8306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
18020 Stoney Brook CT
Chagrin Falls, OH 44023-4845
Mailing address
18020 Stoney Brook CT
Chagrin Falls, OH 44023-4845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250414003264 | OH | Part B Supplier - Clinic/Group Practice | 3476077264 | Practice locations: Chagrin Falls, OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744329600000",
"number": "1588463418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18020 STONEY BROOK CT",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440234845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18020 STONEY BROOK CT",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440234845",
"telephone_number": "440-809-8306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ART OF INTROSPECTION COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-12",
"last_updated": "2025-04-11",
"certification_date": "2025-04-03",
"status": "A",
"authorized_official_last_name": "KOLLER",
"authorized_official_first_name": "CARLY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "440-809-8306",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chagrin Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.