Organization Active NPI

Hearth Consultants LLC

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1801114087
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1984 Issued in OH
Legal business name
HEARTH CONSULTANTS LLC
Practice address
29525 Chagrin Blvd
Suite 303
Beachwood, OH 44122-4644
Phone
(216) 533-1391
Fax
(216) 283-9335
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Mrs. Pamela L Gleisser, LISW-SNPI 1952492027
Title
Therapist
Phone
(216) 533-1391

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 I1984 OH Primary

Addresses

Primary practice location

29525 Chagrin Blvd
Suite 303
Beachwood, OH 44122-4644

Mailing address

29525 Chagrin Blvd
Suite 303
Beachwood, OH 44122-4644
Phone (216) 533-1391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100823000079 OH Part B Supplier - Clinic/Group Practice 2668506981 Receives reassigned benefits from 1 practitioner
Practice locations: Shaker Heights, OH; Solon, OH

National Provider Directory

National Provider Directory

Locations

29525 Chagrin Blvd
Ste 303
Beachwood, OH 44122
Phone (216) 464-4664

33790 Bainbridge Rd
Ste 208
Solon, OH 44139
Phone (216) 533-1391

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": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1801114087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29525 CHAGRIN BLVD",
            "address_2": "SUITE 303",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224644",
            "telephone_number": "216-533-1391",
            "fax_number": "216-283-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CHAGRIN BLVD",
            "address_2": "SUITE 303",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224644",
            "telephone_number": "216-533-1391",
            "fax_number": "216-283-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTH CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "GLEISSER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "216-533-1391",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.