Active NPI
Heart Centered Health and Wellness LLC
- Clinical Social Worker
- Medina, OH
National Provider Identifier
1720827512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HEART CENTERED HEALTH AND WELLNESS LLC
- Practice address
- 217 W Homestead St
Medina, OH 44256-3129 - Phone
- (330) 840-9385
- Fax
- (330) 595-4392
- NPI assigned
- May 21, 2024
- Last updated
- Sep 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Marie Russell, LISW-S, LICDC-CS
- Title
- Owner
- Phone
- (330) 840-9385
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
217 W Homestead St
Medina, OH 44256-3129
Mailing address
217 W Homestead St
Medina, OH 44256-3129
Phone (330) 840-9385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Medina, OH
- NPI 1235348137
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1720827512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 W HOMESTEAD ST",
"city": "MEDINA",
"state": "OH",
"postal_code": "442563129",
"telephone_number": "330-840-9385",
"fax_number": "330-595-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 W HOMESTEAD ST",
"city": "MEDINA",
"state": "OH",
"postal_code": "442563129",
"telephone_number": "330-840-9385",
"fax_number": "330-595-4392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART CENTERED HEALTH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-21",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-840-9385",
"authorized_official_credential": "LISW-S, LICDC-CS"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
- Caroline Healey, CDCA QMHS BA
- Healthspan Integrated Care
- Healthspan Physicians, LLC (HealthSpan Physicians - Medina)
- Hearing Health Centers
- Hearing Health USA (Clarity Hear Hearing Center)
- Heart to Heart Home Health Care, Inc.
- John Nicholas Heary, DC
- Sarah Heath, CCC-SLP
- Christine Marie Heed
- Robert C Heed
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.