Active NPI
Robert Darrell Pickard Sr., LPCC
- Professional Counselor
- Cleveland, OH
National Provider Identifier
1720313638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C 0800106
- Practice address
- 10427 Detroit Ave
Cleveland, OH 44102-1645 - Phone
- (216) 694-7200
- Fax
- (216) 521-6006
- NPI assigned
- Oct 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C 0800106 | OH | Primary |
| Mental Health Counselor | 101YM0800X | E.0800106 | OH |
Addresses
Primary practice location
10427 Detroit Ave
Cleveland, OH 44102-1645
Mailing address
355 S Belvoir Blvd
South Euclid, OH 44121-2348
Phone (216) 531-9580
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 |
|---|---|---|---|
| E.0800106 | OH | MD | Mental Health Counselor |
| C 0800106 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1720313638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 S BELVOIR BLVD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212348",
"telephone_number": "216-531-9580",
"fax_number": "216-531-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10427 DETROIT AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441021645",
"telephone_number": "216-694-7200",
"fax_number": "216-521-6006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKARD",
"first_name": "ROBERT",
"middle_name": "DARRELL",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-09",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C 0800106",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.0800106",
"primary": false
}
],
"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 Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.