Elisa Valentine

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.2305374 Issued in OH

Practice address

203 Main St
Chardon, OH 44024-1538

Phone

(440) 214-9062

NPI assigned

Jun 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vagus Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Medina, OH
  • NPI 1275495616
  NPD Authorized official

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1780426015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8357 QUAIL POINT LN",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440602279",
            "telephone_number": "216-644-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MAIN ST",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241538",
            "telephone_number": "440-214-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "ELISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2305374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Primary Care Practices Inc
• University Primary Care Practices Inc.
• University Suburban Sleep Center
• John Milan Urbancic, MD
• Kristina Valentic, MSN, CNP, CRNFA
• Jane Ellen Valvoda, MS. RD. LD. CDE.
• Vance & Teknipp Eye Care, LLC
• Trisha Barnes Vance, OD
• Vandeweel Smetana Enterprises
• Karen Lynn Vanscoyoc

• Mental Health Counselor in Chardon, OH
• Providers in Chardon, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.