Collaborative Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COLLABORATIVE COUNSELING

Practice address

10623 South St
Garrettsville, OH 44231-1108

Phone

(330) 398-5000

NPI assigned

Mar 16, 2020

Organization subpart

No

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

Authorized official

Name

Judith Bernadette Macek, LPCC

Title

Owner

Phone

(330) 398-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1699301234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12066 PRENTISS RD",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442319694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10623 SOUTH ST",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442311108",
            "telephone_number": "330-398-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "MACEK",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "BERNADETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-398-5000",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION",
            "identifier": "1669874251",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GARRETTSVILLE",
            "affiliation": "N",
            "address_1": "10623 South St",
            "city": "Garrettsville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442311108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Haley Byler
• Stacy Carter
• Chiropractic Center of Garrettsville
• Chiropractic Center of Garrettsville
• Morgan Michelle Churchwell, CNP
• Community Ambulance Inc.
• Community EMS District
• Hannah Mae Cross, PHARM.D.
• Kelly Delong
• Dr. Thomas J. Pesarchick DDS Inc.

• Community/Behavioral Health Agency in Garrettsville, OH
• Providers in Garrettsville, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.