Organization Active NPI

Square One Counseling and Psychotherapy

  • Clinical Social Worker
  • Cleveland Heights, OH
National Provider Identifier
1801392238
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1000021-SUPV Issued in OH
Legal business name
SQUARE ONE COUNSELING AND PSYCHOTHERAPY
Practice address
2460 Fairmount Blvd Ste 320
Cleveland Heights, OH 44106-3164
Phone
(216) 970-0732
Fax
(216) 274-9007
NPI assigned
Apr 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Chava Emma Harris, LISW-SNPI 1730480138
Title
Social Worker/Owner
Phone
(216) 970-0732

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X I.1000021-SUPV OH Primary

Addresses

Primary practice location

2460 Fairmount Blvd Ste 320
Cleveland Heights, OH 44106-3164

Mailing address

PO Box 221261
Beachwood, OH 44122-0996
Phone (216) 970-0732

Other names 1

  • Chava Harris Other name

National Provider Directory

National Provider Directory

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": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1801392238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221261",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441220996",
            "telephone_number": "216-970-0732",
            "fax_number": "216-274-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 FAIRMOUNT BLVD STE 320",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063164",
            "telephone_number": "216-970-0732",
            "fax_number": "216-274-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE ONE COUNSELING AND PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CHAVA",
        "authorized_official_middle_name": "EMMA",
        "authorized_official_title_or_position": "SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "216-970-0732",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000021-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chava Harris",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.