Active NPI
Naomi Harrison Opdycke, LISW
- Mental Health Counselor
- Cleveland, OH
National Provider Identifier
1700905031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- I-0004331
- Practice address
- 17407 Lorain Ave
Cleveland, OH 44111-4022 - Phone
- (216) 671-9272
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | I-0004331 | OH | Primary |
Addresses
Primary practice location
17407 Lorain Ave
Cleveland, OH 44111-4022
Mailing address
21716 Kenwood Ave
Rocky River, OH 44116-1236
Phone (440) 333-6949
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
| License | State | Type | Specialty |
|---|---|---|---|
| I-0004331 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700905031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21716 KENWOOD AVE",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441161236",
"telephone_number": "440-333-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17407 LORAIN AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441114022",
"telephone_number": "216-671-9272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPDYCKE",
"first_name": "NAOMI",
"middle_name": "HARRISON",
"name_prefix": "Mrs.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "I-0004331",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.