Individual provider Active NPI

John M. Spiesman, LSW,ED.D.

  • Pastoral Counselor
  • Painesville, OH
National Provider Identifier
1740264787
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
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

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170322002024 OH Practitioner - Clinical Social Worker 9638454242 Reassigns benefits to 1 organization

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
Glovan, Pollak and Associates LLCGroup PAC ID 9032337308, 9 clinicians

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

LicenseStateTypeSpecialty
S 32213OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Glovan Pollak and Associates LLC CurrentSince Sep 1, 2020 Accepting new patients
Psychological & Behavioral Consultants, LLC PastSince Jan 1, 2013 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.

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

Verify at the official NPI Registry.