Individual provider Active NPI

Maureen Paige-Bobo, LSW

  • Professional Counselor
  • Cleveland, OH
National Provider Identifier
1730617754
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
S0016468 Issued in OH
Practice address
4614 Prospect Ave Ste 325
Cleveland, OH 44103-4377
Phone
(216) 777-2136
Fax
(888) 380-3849
NPI assigned
Jun 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X S0016468 OH Primary

Addresses

Primary practice location

4614 Prospect Ave Ste 325
Cleveland, OH 44103-4377

Mailing address

4614 Prospect Ave Ste 325
Cleveland, OH 44103-4377
Phone (216) 777-2136

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
S0016468OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Collaboration Station CurrentSince Jul 24, 2022 Accepting new patients

Locations

4614 Prospect Ave
Ste 325
Cleveland, OH 44103
Phone (216) 777-2136

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730617754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 PROSPECT AVE STE 325",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034377",
            "telephone_number": "216-777-2136",
            "fax_number": "888-380-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 PROSPECT AVE STE 325",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034377",
            "telephone_number": "216-777-2136",
            "fax_number": "888-380-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE-BOBO",
        "first_name": "MAUREEN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "S0016468",
            "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 21, 2022; 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.