Individual provider Active NPI

Leean Yamilet Andino

  • Counselor
  • Cleveland, OH
National Provider Identifier
1730800541
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.2406087 Issued in OH
Practice address
4500 Euclid Ave
Cleveland, OH 44103-3736
Phone
(216) 432-7200
NPI assigned
Sep 9, 2022
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 181942 OH
Counselor 101Y00000X C.2406087 OH Primary

Addresses

Primary practice location

4500 Euclid Ave
Cleveland, OH 44103-3736

Mailing address

6220 Carol Dr
Brookpark, OH 44142-3827
Phone (216) 682-9751

Other practice location 1

6220 Carol Dr
Brookpark, OH 44142-3827
Phone (216) 682-9751

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
C.2406087OHMDCounselor
181942OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1730800541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 CAROL DR",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441423827",
            "telephone_number": "216-682-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033736",
            "telephone_number": "216-432-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6220 Carol Dr",
            "address_purpose": "LOCATION",
            "city": "Brookpark",
            "state": "OH",
            "postal_code": "441423827",
            "country_code": "US",
            "telephone_number": "216-682-9751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDINO",
        "first_name": "LEEAN",
        "middle_name": "YAMILET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "181942",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2406087",
            "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 Feb 5, 2025; 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.