Organization Active NPI

Integrative Counseling Services

  • Mental Health Counselor
  • Medina, OH
National Provider Identifier
1659997237
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INTEGRATIVE COUNSELING SERVICES
Practice address
2648 Medina Rd.
Medina, OH 44256-2378
Phone
(440) 570-2541
NPI assigned
Jun 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Mr. Allan Howard Brainard, MA LPCCNPI 1285172577
Title
Counselor/Therapist
Phone
(440) 570-2541

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

2648 Medina Rd.
Medina, OH 44256-2378

Mailing address

2648 Medina Rd.
Medina, OH 44256-2378
Phone (440) 570-2541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240730001999 OH Part B Supplier - Clinic/Group Practice 5395282156 Receives reassigned benefits from 2 practitioners
Practice locations: Medina, OH

National Provider Directory

National Provider Directory

Locations

2648 Medina Rd
Unit 16
Medina, OH 44256
Phone (440) 570-2541

124 Lafayette Rd
Ste 200
Medina, OH 44256

2648 Medina Rd
Medina, OH 44256
Phone (440) 570-2541

Practitioners & affiliated clinicians

Practitioners 3

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": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1659997237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 MEDINA RD.",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562378",
            "telephone_number": "440-570-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 MEDINA RD.",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562378",
            "telephone_number": "440-570-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "BRAINARD",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "COUNSELOR/THERAPIST",
        "authorized_official_telephone_number": "440-570-2541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.