Joleen V Sundquist, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E4265 Issued in OH

Practice address

4510 Collins Blvd
Suite 2
Ashtabula, OH 44004-6954

Phone

(440) 992-7878

Fax

(440) 992-7887

NPI assigned

Jan 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ravenwood Mental Health CenterGroup PAC ID 6901813922, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ravenwood Mental Health Center

  • Community/Behavioral Health Agency
  • Chardon, OH
  • NPI 1730356296
  Medicare reassignment Care Compare group NPD
• Community Counseling Center of Ashtabula County

  • Adolescent and Children Mental Health Clinic/Center
  • Ashtabula, OH
  • NPI 1720029622
  NPD
• Ravenwood Mental Health Center

  • Addiction (Substance Use Disorder) Counselor
  • Chardon, OH
  • NPI 1912265794
  NPD
• Riverside Counseling Associates, Inc.

  • Clinical Psychologist
  • Ashtabula, OH
  • NPI 1528102654

  Professional

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669452777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 COLLINS BLVD",
            "address_2": "SUITE 2",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046954",
            "telephone_number": "440-992-7878",
            "fax_number": "440-992-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 COLLINS BLVD",
            "address_2": "SUITE 2",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046954",
            "telephone_number": "440-992-7878",
            "fax_number": "440-992-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDQUIST",
        "first_name": "JOLEEN",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E4265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Stocker, MSN CRNA
• Korey Stoneman
• Mattie E Stowell, DDS
• Amber Sturgill
• Andrea Sullivan
• Yisa Sunmonu, MD
• Mary E. Swanson, H.I.S.
• Teresa Swanson
• Andrea M Swartout
• Martha Julia Swick, M.A. PSYCHOLOGY ASST

• Professional Counselor in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.