Palm Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PALM WELLNESS, LLC

Practice address

565 W Bagley Rd
Berea, OH 44017-1328

Phone

(440) 212-1389

NPI assigned

Oct 14, 2020

Organization subpart

No

Name

Phillip PalmisonNPI 1891059770

Title

Professional Clinical Counselor

Phone

(440) 212-1389

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Palmison

  • Professional Counselor
  • Berea, OH
  • NPI 1891059770

  Professional

  NPD Authorized official
• Andre Ross, LPCC

  • Counselor
  • Berea, OH
  • NPI 1326772567
  NPD
• Cheryl Barker, PHD

  • Counseling Psychologist
  • Berea, OH
  • NPI 1255780334
  NPD (past)
• Carl J Dejohn, LPCC

  • Professional Counselor
  • Cleveland, OH
  • NPI 1336597178

  Professional

  NPD (past)
• Lisa Renee Palmison, LPC

  • Professional Counselor
  • Berea, OH
  • NPI 1831886845

  Professional

  NPD (past)
• Bridget Elizabeth Tovey, LPCC

  • Mental Health Counselor
  • Berea, OH
  • NPI 1245704832
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2023.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700352000000",
    "number": "1851999650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 W BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171328",
            "telephone_number": "440-212-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 W BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171328",
            "telephone_number": "440-212-1389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 Front St",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "OH",
            "postal_code": "440171716",
            "country_code": "US",
            "telephone_number": "440-212-1389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALM WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A",
        "authorized_official_last_name": "PALMISON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PROFESSIONAL CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "440-212-1389"
    },
    "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": "0202676",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ohioguidestone
• Kimberly Olson
• Monica N Orange
• Rebekah Orellana, QMHS, CMS
• Brittany B Paige, RN
• Lisa Renee Palmison, LPC
• Phillip Palmison
• Isabelle Panichi
• Eileen Panstares
• Pankti Parikh, QMHS, CMS

• All providers in Berea, OH
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.