Active NPI
John M. Spiesman, LSW,ED.D.
- Pastoral Counselor
- Painesville, OH
National Provider Identifier
1740264787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 391 W Washington St
Painesville, OH 44077-3309 - Phone
- (440) 474-9727
- Fax
- (440) 474-7424
- NPI assigned
- Dec 2, 2005
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | Primary | ||
| Social Worker | 104100000X | S 32213 | OH |
Addresses
Primary practice location
391 W Washington St
Painesville, OH 44077-3309
Mailing address
PO Box 42
Thompson, OH 44086-0042
Phone (440) 474-9727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8224 Mentor Ave
Suite 208
Mentor, OH 44060-5743
Phone (440) 392-2222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S 32213 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glovan Pollak and Associates LLC | Current | Accepting new patients | |
| Psychological & Behavioral Consultants, LLC | Past | Accepting new patients |
Locations
8224 Mentor Ave
Ste 208
Mentor, OH 44060
Phone (440) 392-2222
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Mentor, OH
- NPI 1467872689
-
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1740264787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42",
"city": "THOMPSON",
"state": "OH",
"postal_code": "440860042",
"telephone_number": "440-474-9727",
"fax_number": "440-474-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 W WASHINGTON ST",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440773309",
"telephone_number": "440-474-9727",
"fax_number": "440-474-7424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIESMAN",
"first_name": "JOHN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "LSW,ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S 32213",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.