Organization Active NPI

Personal Counseling & Wellness, LLC

  • Clinical Social Worker
  • Garfield Heights, OH
National Provider Identifier
1760986343
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0800237 Issued in OH
Legal business name
PERSONAL COUNSELING & WELLNESS, LLC
Practice address
9999 Granger Rd Ste 2
Garfield Heights, OH 44125
Phone
(440) 862-0871
NPI assigned
Mar 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Authorized official

Name
Mrs. Jacqueline M. Jaros, LISW, LCSW
Title
Owner
Phone
(440) 862-0871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I.0800237 OH Primary

Addresses

Primary practice location

9999 Granger Rd Ste 2
Garfield Heights, OH 44125

Mailing address

9999 Granger Rd Ste 2
Garfield Heights, OH 44125-5319
Phone (440) 862-0871

National Provider Directory

National Provider Directory

Locations

9999 Granger Rd
Ste 2
Garfield Heights, OH 44125
Phone (440) 487-7013

337 Youngstown Kingsville Rd SE
Vienna, OH 44473
Phone (440) 487-7013

Practitioners & affiliated clinicians

Practitioners 1

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": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1760986343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 GRANGER RD STE 2",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441255319",
            "telephone_number": "440-862-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 GRANGER RD STE 2",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "440-862-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "JAROS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-862-0871",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.