Active NPI
Olga Rafidi, LPC-S
- Mental Health Counselor
- Youngstown, OH
National Provider Identifier
1790805182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.0004789-SUPV
- Practice address
- 388 E Midlothian Blvd
Youngstown, OH 44507-1948 - Phone
- (724) 396-1510
- Fax
- (724) 972-4627
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.0004789-SUPV | OH | Primary |
Addresses
Primary practice location
388 E Midlothian Blvd
Youngstown, OH 44507-1948
Mailing address
101 Pembroke CT
Greensburg, PA 15601-6404
Phone (724) 396-1510
Other practice location 1
2722 W Liberty St
Girard, OH 44420-3116
Phone (724) 396-1510
Other practice location 2
39 Cherry St
Columbiana, OH 44408-1015
Phone (724) 396-1510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0268224 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.0004789-SUPV | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Hoffman | Past | Accepting new patients | |
| Richard Hoffman | Past | Accepting new patients | |
| HWS Best Health LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Canton, OH
- NPI 1750017893
-
- Professional Counselor
- Wintersville, OH
- NPI 1457835928
-
- Clinical Social Worker
- Steubenville, OH
- NPI 1922582378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1790805182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PEMBROKE CT",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156016404",
"telephone_number": "724-396-1510",
"fax_number": "724-972-4627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 E MIDLOTHIAN BLVD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445071948",
"telephone_number": "724-396-1510",
"fax_number": "724-972-4627"
}
],
"practiceLocations": [
{
"address_1": "2722 W Liberty St",
"address_purpose": "LOCATION",
"city": "Girard",
"state": "OH",
"postal_code": "444203116",
"country_code": "US",
"telephone_number": "724-396-1510",
"fax_number": "724-972-4627",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "39 Cherry St",
"address_purpose": "LOCATION",
"city": "Columbiana",
"state": "OH",
"postal_code": "444081015",
"country_code": "US",
"telephone_number": "724-396-1510",
"fax_number": "724-972-4627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAFIDI",
"first_name": "OLGA",
"credential": "LPC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.0004789-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0268224",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.