Active NPI
Lutheran Metropolitan Ministry
- Addiction (Substance Use Disorder) Counselor
- Cleveland, OH
National Provider Identifier
1659839041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0120865 | Medicaid | OH | |
| 01-0302 | Other | OHIO MENTAL HEALTH AND ADDICTION SERVICES |
National Provider Directory
National Provider Directory- Tax ID family
- Lutheran Metropolitan Ministry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Voluntary or Charitable Agency
- Cleveland, OH
- NPI 1063461929
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.
-
- Professional Counselor
- Cleveland, OH
- NPI 1649706078
-
- Social Worker
- Cleveland, OH
- NPI 1669969838
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.