Organization Active NPI

Neurowise Therapeutics LLC

  • Mental Health Counselor
  • Medina, OH
National Provider Identifier
1629782792
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NEUROWISE THERAPEUTICS LLC
Practice address
2425 Medina Rd Ste 204
Medina, OH 44256-5381
Phone
(330) 353-9776
NPI assigned
Jan 12, 2023
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Mr. Chase Michael Harshbarger, LPCC-SNPI 1255886461
Title
Co-Owner
Phone
(330) 217-3488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

2425 Medina Rd Ste 204
Medina, OH 44256-5381

Mailing address

2425 Medina Rd Ste 204
Medina, OH 44256-5381
Phone (330) 353-9776

National Provider Directory

National Provider Directory

Locations

2981 S Arlington Rd
#1091
Akron, OH 44312

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1629782792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 MEDINA RD STE 204",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565381",
            "telephone_number": "330-353-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 MEDINA RD STE 204",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565381",
            "telephone_number": "330-353-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROWISE THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "HARSHBARGER",
        "authorized_official_first_name": "CHASE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "330-217-3488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.