NPIMap

Organization Active NPI

On the Level Counseling Therapy & Training LLC

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1750970117
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ON THE LEVEL COUNSELING THERAPY & TRAINING LLC
Practice address
366 Wellington St SW
Atlanta, GA 30310-1239
Phone
(330) 329-0864
NPI assigned
Jan 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Morrondo Edwards-RobertsNPI 1023478609
Title
LCSW
Phone
(330) 329-0864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

366 Wellington St SW
Atlanta, GA 30310-1239

Mailing address

366 Wellington St SW
Atlanta, GA 30310-1239
Phone (330) 329-0864

Other practice location 1

400 Lynndale Dr
Akron, OH 44313-4916
Phone (330) 329-0864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210831000940 GA Part B Supplier - Clinic/Group Practice 9234535261 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA
O20210920002167 OH Part B Supplier - Clinic/Group Practice 9234535261 Receives reassigned benefits from 1 practitioner
Practice locations: Akron, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1750970117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 WELLINGTON ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101239",
            "telephone_number": "330-329-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 WELLINGTON ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101239",
            "telephone_number": "330-329-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Lynndale Dr",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443134916",
            "country_code": "US",
            "telephone_number": "330-329-0864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ON THE LEVEL COUNSELING THERAPY & TRAINING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "EDWARDS-ROBERTS",
        "authorized_official_first_name": "MORRONDO",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "330-329-0864"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.