Individual provider Active NPI

John P Meehan, LPCC

  • Mental Health Counselor
  • Rocky River, OH
National Provider Identifier
1649810821
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2303879 Issued in OH
Practice address
20545 Center Ridge Rd Ste 305
Rocky River, OH 44116-3423
Phone
(844) 719-1674
NPI assigned
Jan 15, 2020
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1902013-TRNE OH
Mental Health Counselor 101YM0800X E.2303879 OH Primary

Addresses

Primary practice location

20545 Center Ridge Rd Ste 305
Rocky River, OH 44116-3423

Mailing address

20545 Center Ridge Rd Ste 305
Rocky River, OH 44116-3423

Other practice location 1

398 Glen park drive
Bay village, OH 44140
Phone (440) 409-1398

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
I20250314002696 OH Practitioner - Mental Health Counselor 9638691074 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1902013-TRNEOHMDMental Health Counselor
E.2303879OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Mental Health CurrentSince Jan 3, 2025 Accepting new patients
Colors Plus Counseling Mental Health PastSince Jan 1, 2020 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

20545 Center Ridge Rd
Ste 305
Rocky River, OH 44116
Phone (216) 789-3929

Organizations & group practices 2

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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1649810821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20545 CENTER RIDGE RD STE 305",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20545 CENTER RIDGE RD STE 305",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163423",
            "telephone_number": "844-719-1674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "398 Glen park drive",
            "address_purpose": "LOCATION",
            "city": "Bay village",
            "state": "OH",
            "postal_code": "44140",
            "country_code": "US",
            "telephone_number": "440-409-1398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1902013-TRNE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.