Organization Active NPI

Unity Wellness, LLC

  • Professional Counselor
  • Woodmere, OH
National Provider Identifier
1821696352
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Denise Deluca, LPCCNPI 1942733993
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0422447MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240430003350 OH Part B Supplier - Clinic/Group Practice 6002256633 Receives reassigned benefits from 1 practitioner
Practice locations: Beachwood, OH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.