Organization Active NPI

Stellasdream Art Therapy & Counseling

  • Professional Counselor
  • Mentor, OH
National Provider Identifier
1699398388
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
STELLASDREAM ART THERAPY & COUNSELING
Practice address
8500 Station St Ste 112
Mentor, OH 44060-4962
Phone
(440) 251-9325
Fax
(440) 549-0935
NPI assigned
May 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Janeane Grisez, LPCC-S, LICDC-CSNPI 1073873683
Title
Owner/Clinical Director
Phone
(440) 251-9325

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

8500 Station St Ste 112
Mentor, OH 44060-4962

Mailing address

8500 Station St Ste 112
Mentor, OH 44060-4962
Phone (440) 251-9325

National Provider Directory

National Provider Directory

Locations

8500 Station St
Ste 112
Mentor, OH 44060
Phone (440) 251-9325

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1699398388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 STATION ST STE 112",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604962",
            "telephone_number": "440-251-9325",
            "fax_number": "440-549-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 STATION ST STE 112",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604962",
            "telephone_number": "440-251-9325",
            "fax_number": "440-549-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLASDREAM ART THERAPY & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "GRISEZ",
        "authorized_official_first_name": "JANEANE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "440-251-9325",
        "authorized_official_credential": "LPCC-S, LICDC-CS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.