Individual provider Active NPI

Stephen Okolo, APRN/CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lorain, OH
National Provider Identifier
1740918697
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0031746 Issued in OH
Practice address
3364 Kolbe Rd
Lorain, OH 44053-1628
Phone
(440) 960-7960
NPI assigned
Aug 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0031746 OH Primary

Addresses

Primary practice location

3364 Kolbe Rd
Lorain, OH 44053-1628

Mailing address

12395 McCracken Rd Ste H
Garfield Heights, OH 44125-2946
Phone (216) 587-6727

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907002417 OH Practitioner - Nurse Practitioner 2163806324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CNP Operating Co LLCGroup PAC ID 8325263734, 63 clinicians
Generations Behavioral Health-Geneva LLCGroup PAC ID 3476862210, 4 clinicians

Practice addresses (Care Compare)

1223 Market Ave N
Canton, OH 44714-2603
Phone (234) 999-4900

60 W St
Geneva, OH 44041-9723
Phone (440) 491-0155

8055 Addison Rd
Masury, OH 44438-1204
Phone (330) 448-2547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rakesh Ranjan MD & Associates, Inc. CurrentSince Aug 10, 2022 Accepting new patients
Rakesh Ranjan M.D. & Assoc., Inc. Psychiatric/Mental Health CurrentSince Aug 10, 2022 Accepting new patients

Locations

12395 McCracken Rd
Ste H
Garfield Hts, OH 44125
Phone (216) 504-3646

12395 McCracken Rd
Ste A
Garfield Hts, OH 44125
Phone 21658767273402

801 E Washington St
Ste 150
Medina, OH 44256
Phone (330) 722-1069

Organizations & group practices 4

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1740918697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12395 MCCRACKEN RD STE H",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252946",
            "telephone_number": "216-587-6727",
            "fax_number": "844-887-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3364 KOLBE RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531628",
            "telephone_number": "440-960-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOLO",
        "first_name": "STEPHEN",
        "credential": "APRN/CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0031746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.