Phillip Palmison

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1000605 Issued in OH

Practice address

565 W Bagley Rd
Berea, OH 44017-1328

Phone

(440) 212-1389

NPI assigned

Jun 26, 2012

Last updated

Nov 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Palm Wellness, LLC

  • Professional Counselor
  • Berea, OH
  • NPI 1851999650
  NPD Authorized official

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700352000000",
    "number": "1891059770",
    "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"
        },
        {
            "address_1": "303 E Bagley Rd",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "OH",
            "postal_code": "440172040",
            "country_code": "US",
            "telephone_number": "440-260-8359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMISON",
        "first_name": "PHILLIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1000605",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1000605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica N Orange
• Rebekah Orellana, QMHS, CMS
• Brittany B Paige, RN
• Palm Wellness, LLC
• Lisa Renee Palmison, LPC
• Isabelle Panichi
• Eileen Panstares
• Pankti Parikh, QMHS, CMS
• Aisha Parnell
• Lashawn D Pate, QMHS, CMS

• Professional Counselor in Berea, OH
• Providers in Berea, OH by specialty
• 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.