Organization Active NPI

Lutheran Metropolitan Ministry

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
National Provider Identifier
1659839041
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
LUTHERAN METROPOLITAN MINISTRY
Practice address
4100 Franklin Blvd
Cleveland, OH 44113-2842
Phone
(216) 281-2500
Fax
(216) 281-2500
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Lisa Smith, LICDC
Title
VP, HWS
Phone
(216) 281-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

4100 Franklin Blvd
Cleveland, OH 44113-2842

Mailing address

4515 Superior Ave
Cleveland, OH 44103-1215
Phone (216) 623-0959

Other identifiers 2

IdentifierTypeStateIssuer
0120865MedicaidOH
01-0302OtherOHIO MENTAL HEALTH AND ADDICTION SERVICES

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Metropolitan Ministry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4515 Superior Ave
Cleveland, OH 44103
Phone (216) 633-0995

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": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1659839041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 SUPERIOR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441031215",
            "telephone_number": "216-623-0959",
            "fax_number": "216-281-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 FRANKLIN BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132842",
            "telephone_number": "216-281-2500",
            "fax_number": "216-281-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN METROPOLITAN MINISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VP, HWS",
        "authorized_official_telephone_number": "216-281-2500",
        "authorized_official_credential": "LICDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120865",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MENTAL HEALTH AND ADDICTION SERVICES",
            "identifier": "01-0302",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.