NPIMap

Organization Active NPI

Fuentes Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Willoughby, OH
National Provider Identifier
1659712859
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FUENTES COUNSELING SERVICES
Practice address
36 Public SQ
Suite 202
Willoughby, OH 44094-7854
Phone
(440) 488-4081
NPI assigned
Jul 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Mrs. Debra L Fuentes, PCC, LICDC-CSNPI 1740550573
Title
Clinician/ Owner
Phone
(440) 488-4081

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X E8454 OH
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X E8454 OH
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

36 Public SQ
Suite 202
Willoughby, OH 44094-7854

Mailing address

36 Public SQ
Suite 202
Willoughby, OH 44094-7854
Phone (440) 488-4081

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1659712859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PUBLIC SQ",
            "address_2": "SUITE 202",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440947854",
            "telephone_number": "440-488-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PUBLIC SQ",
            "address_2": "SUITE 202",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440947854",
            "telephone_number": "440-488-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUENTES COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICIAN/ OWNER",
        "authorized_official_telephone_number": "440-488-4081",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PCC, LICDC-CS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E8454",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "E8454",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.