Individual provider Active NPI

Juan Gabriel Caraballo Soto

  • Mental Health Counselor
  • North Royalton, OH
National Provider Identifier
1841104395
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
12608 State Rd
North Royalton, OH 44133-3281
Phone
(939) 312-8432
Fax
(440) 345-3456
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OH Primary

Addresses

Primary practice location

12608 State Rd
North Royalton, OH 44133-3281

Mailing address

4028 Dartford Rd
South Euclid, OH 44121-2302
Phone (939) 312-8432

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1841104395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 DARTFORD RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441212302",
            "telephone_number": "939-312-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12608 STATE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333281",
            "telephone_number": "939-312-8432",
            "fax_number": "440-345-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO SOTO",
        "first_name": "JUAN",
        "middle_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.