Allison Vandrak

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2303441 Issued in OH

Practice address

34950 Chardon Rd Ste 210
Willoughby Hills, OH 44094-9162

Phone

(440) 305-5890

Fax

(440) 205-1009

NPI assigned

Sep 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heal With Words, LLC

  • Mental Health Counselor
  • Willoughby Hills, OH
  • NPI 1114788403
  Medicare reassignment NPD Authorized official
• JNR Behavioral Therapy & Mediation Services

  • Mental Health Counselor
  • Willoughby Hills, OH
  • NPI 1033629340
  NPD (past)

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1881177004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD STE 210",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949162",
            "telephone_number": "440-305-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD STE 210",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949162",
            "telephone_number": "440-305-5890",
            "fax_number": "440-205-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDRAK",
        "first_name": "ALLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2864093",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damariah Turner
• Samantha Lynn Tuttle
• Twins Transportation Services, L.L.C
• United Dental Care Changwon Ahn DMD
• Lindsey Valvoda, QMHS
• Sharon D Varner, LPN
• Bridget Verma, LCSW
• Voca Corporation of Ohio
• Mirko F Vombergar, DDS
• Winston Grady Voncarlowitz, PT, DPT

• Mental Health Counselor in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.