Active NPI
Unity Wellness, LLC
- Professional Counselor
- Woodmere, OH
National Provider Identifier
1821696352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- UNITY WELLNESS, LLC
- Practice address
- 28601 Chagrin Blvd Ste 200
Woodmere, OH 44122-4556 - Phone
- (440) 291-5467
- NPI assigned
- Oct 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Deluca, LPCC
- Title
- Owner/ Authorized Official
- Phone
- (440) 409-3304
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
28601 Chagrin Blvd Ste 200
Woodmere, OH 44122-4556
Mailing address
28601 Chagrin Blvd Ste 200
Woodmere, OH 44122-4556
Phone (440) 291-5467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0422447 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240430003350 | OH | Part B Supplier - Clinic/Group Practice | 6002256633 |
Receives reassigned benefits from 1 practitioner Practice locations: Beachwood, OH |
National Provider Directory
National Provider DirectoryLocations
28601 Chagrin Blvd
Ste 200
Woodmere, OH 44122
Phone (440) 291-5467
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": "1602806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671148800000",
"number": "1821696352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28601 CHAGRIN BLVD STE 200",
"city": "WOODMERE",
"state": "OH",
"postal_code": "441224556",
"telephone_number": "440-291-5467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28601 CHAGRIN BLVD STE 200",
"city": "WOODMERE",
"state": "OH",
"postal_code": "441224556",
"telephone_number": "440-291-5467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITY WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-16",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A",
"authorized_official_last_name": "DELUCA",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "OWNER/ AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "440-409-3304",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0422447",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodmere, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.