Angela Renee Banks, LPCC – Professional Counselor

Key facts

NPI: 1831609197
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: E.1901461 (OH)
Practice address: 270 Union St
Bedford, OH 44146-4546
Phone: (440) 232-0214
NPI assigned: Oct 1, 2017
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

The Clarity Couch Mental Health Counselor · Garfield HTS, OH · NPI 1548861487

NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
E.1901461	OH	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
The Clarity Couch		Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	E.1901461	OH	Yes

Addresses

Primary practice location

270 Union St
Bedford, OH 44146-4546

Mailing address

14408 Wheeler Rd
Maple Heights, OH 44137-4033
Phone (216) 904-6729

Other practice location 1

14408 Wheeler Rd
Maple Heights, OH 44137-4033
Phone (216) 904-6729

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 16, 2019.

{
    "created_epoch": "1506816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1831609197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14408 WHEELER RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374033",
            "telephone_number": "216-904-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 UNION ST",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441464546",
            "telephone_number": "440-232-0214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14408 Wheeler Rd",
            "address_purpose": "LOCATION",
            "city": "Maple Heights",
            "state": "OH",
            "postal_code": "441374033",
            "country_code": "US",
            "telephone_number": "216-904-6729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-01",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1901461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

All providers in Bedford, OH · Professional Counselor in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.