Organization Active NPI

Art of Introspection Counseling

  • Adult Mental Health Clinic/Center
  • Chagrin Falls, OH
National Provider Identifier
1588463418
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Apr 11, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20250414003264 OH Part B Supplier - Clinic/Group Practice 3476077264 Practice locations: Chagrin Falls, OH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.