Organization Active NPI

Inner Directed Counseling and Consulting LLC

  • Mental Health Counselor
  • Stow, OH
National Provider Identifier
1639940208
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNER DIRECTED COUNSELING AND CONSULTING LLC
Practice address
4831 Darrow Rd Ste 107
Stow, OH 44224-1409
Phone
(330) 382-2920
NPI assigned
Jan 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Kelly Kromer, LPCC-SNPI 1275025769
Title
Clinical Therapist
Phone
(330) 382-2920

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4831 Darrow Rd Ste 107
Stow, OH 44224-1409

Mailing address

3732 Fishcreek Rd Unit 189
Stow, OH 44224-4304

Other identifiers 1

IdentifierTypeStateIssuer
1275025769MedicaidOH

National Provider Directory

National Provider Directory

Locations

3732 Fishcreek Rd
Stow, OH 44224
Phone (216) 389-4098

4831 Darrow Rd
Ste 107
Stow, OH 44224
Phone (330) 382-2920

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1639940208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 FISHCREEK RD UNIT 189",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 DARROW RD STE 107",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241409",
            "telephone_number": "330-382-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER DIRECTED COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "KROMER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "330-382-2920",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275025769",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.