Organization Active NPI

Our Couple Counselor LLC

  • Marriage & Family Therapist
  • Beachwood, OH
National Provider Identifier
1720662968
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
OUR COUPLE COUNSELOR LLC
Practice address
24100 Chagrin Blvd Ste 125
Beachwood, OH 44122-5535
Phone
(216) 714-3278
Fax
(800) 879-1741
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Dr. Noelle Zamudio, LIMFT-S, LPC
Title
Owner
Phone
(216) 713-4474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

24100 Chagrin Blvd Ste 125
Beachwood, OH 44122-5535

Mailing address

8507 Tahoe Dr
Macedonia, OH 44056-2734
Phone (216) 255-8544

National Provider Directory

National Provider Directory

Locations

24100 Chagrin Blvd
Ste 125
Beachwood, OH 44122
Phone (216) 714-3278

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1720662968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 TAHOE DR",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562734",
            "telephone_number": "216-255-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 CHAGRIN BLVD STE 125",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225535",
            "telephone_number": "216-714-3278",
            "fax_number": "800-879-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR COUPLE COUNSELOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "ZAMUDIO",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-713-4474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LIMFT-S, LPC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.