Individual provider Active NPI

Cheryl Maria Pelka, M.ED,LSW,PCC-S

  • Professional Counselor
  • Berea, OH
National Provider Identifier
1619236155
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0004854 Issued in OH
Practice address
303 E Bagley Rd
Berea, OH 44017-2040
Phone
(440) 260-8366
Fax
(440) 260-8390
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0004854 OH Primary

Addresses

Primary practice location

303 E Bagley Rd
Berea, OH 44017-2040

Mailing address

303 E Bagley Rd
Berea, OH 44017-2040
Phone (440) 260-8366

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
I20240306004317 OH Practitioner - Mental Health Counselor 9739525254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
OhioguidestoneGroup PAC ID 5597910935, 60 clinicians

Practice addresses (Care Compare)

434 Eastland Rd
Berea, OH 44017-1217
Phone (440) 260-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
E0004854OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ohioguidestone CurrentSince Jan 1, 2024 Accepting new patients
Ohioguidestone CurrentSince Jan 1, 2024 Accepting new patients
Ohioguidestone Past Accepting new patients

Locations

434 Eastland Rd
Berea, OH 44017
Phone (440) 260-8327

202 E Bagley Rd
Berea, OH 44017
Phone (800) 234-2006

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1619236155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172040",
            "telephone_number": "440-260-8366",
            "fax_number": "440-260-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172040",
            "telephone_number": "440-260-8366",
            "fax_number": "440-260-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELKA",
        "first_name": "CHERYL",
        "middle_name": "MARIA",
        "credential": "M.ED,LSW,PCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0004854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

Verify at the official NPI Registry.