Individual provider Active NPI

Danielle Fabrick

  • Professional Counselor
  • Brunswick, OH
National Provider Identifier
1831627728
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E2102200 Issued in OH
Practice address
3487 Center Rd Ste 7C
Brunswick, OH 44212-3686
Phone
(216) 571-6373
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E2102200 OH Primary

Addresses

Primary practice location

3487 Center Rd Ste 7C
Brunswick, OH 44212-3686

Mailing address

2465 Forest Dr
Hinckley, OH 44233-9518
Phone (216) 571-6373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219000056 OH Practitioner - Mental Health Counselor 1658715651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humanistic Counseling Center LLCGroup PAC ID 9335044619, 28 clinicians

Practice addresses (Care Compare)

5555 Mayfield Rd
FL 2
Lyndhurst, OH 44124-2939
Phone (216) 839-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2102200OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Humanistic Counseling Center LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

5555 Mayfield Rd
Fl Second
Lyndhurst, OH 44124

5555 Mayfield Rd
Lyndhurst, OH 44124
Phone (440) 461-4249

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1831627728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 FOREST DR",
            "city": "HINCKLEY",
            "state": "OH",
            "postal_code": "442339518",
            "telephone_number": "216-571-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3487 CENTER RD STE 7C",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123686",
            "telephone_number": "216-571-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRICK",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E2102200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

Verify at the official NPI Registry.