Organization Active NPI

Quiet Pines Counseling LLC

  • Professional Counselor
  • Lorain, OH
National Provider Identifier
1821806357
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
QUIET PINES COUNSELING LLC
Practice address
4383 Elyria Ave
Lorain, OH 44055-2467
Phone
(330) 212-4983
NPI assigned
Dec 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Kate StewartNPI 1265993117
Title
Owner
Phone
(330) 212-4983

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: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4383 Elyria Ave
Lorain, OH 44055-2467

Mailing address

501 Berkshire Dr
Medina, OH 44256-2704

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250822003841 OH Part B Supplier - Clinic/Group Practice 0446750541 Receives reassigned benefits from 1 practitioner
Practice locations: Medina, OH

National Provider Directory

National Provider Directory

Locations

1684 Medina Rd
Medina, OH 44256
Phone (216) 536-5770

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": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1821806357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BERKSHIRE DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 ELYRIA AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440552467",
            "telephone_number": "330-212-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIET PINES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-212-4983"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.