Individual provider Active NPI

James Greenwolf

  • Mental Health Counselor
  • Cleveland, OH
National Provider Identifier
1699646497
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2406445-TRNE Issued in OH
Practice address
3500 Lorain Ave Ste 407
Cleveland, OH 44113-3726
Phone
(216) 250-1607
NPI assigned
Sep 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2406445-TRNE OH Primary

Addresses

Primary practice location

3500 Lorain Ave Ste 407
Cleveland, OH 44113-3726

Mailing address

855 Wagar Rd
Rocky River, OH 44116-1263
Phone (216) 401-2309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.2406445-TRNEOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Sex & Intimacy Counseling Mental Health CurrentSince Sep 21, 2025 Accepting new patients

Locations

3500 Lorain Ave
Ste 407
Cleveland, OH 44113
Phone (216) 250-1607

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1699646497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 WAGAR RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161263",
            "telephone_number": "216-401-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LORAIN AVE STE 407",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133726",
            "telephone_number": "216-250-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOLF",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2406445-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 15, 2025; 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.