Amanda Margaret Cheravitch

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2404816 Issued in OH

Practice address

9930 Johnnycake Ridge Rd
Mentor, OH 44060-6752

Phone

(440) 579-5100

Fax

(440) 579-5104

NPI assigned

Aug 4, 2020

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ubuntu Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chardon, OH
  • NPI 1376058149
  NPD (past)

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1891305900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16545 FIRWOOD LN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235143",
            "telephone_number": "440-708-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 JOHNNYCAKE RIDGE RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606752",
            "telephone_number": "440-579-5100",
            "fax_number": "440-579-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Main St",
            "address_purpose": "LOCATION",
            "city": "Chardon",
            "state": "OH",
            "postal_code": "440241538",
            "country_code": "US",
            "telephone_number": "440-214-9062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERAVITCH",
        "first_name": "AMANDA",
        "middle_name": "MARGARET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2404816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deeanna Chatmon
• Melvin Jay Chavinson, M.D.
• Shari Lynn Chavis, NP
• Kerry E. Chemnitz, AA
• Jessica H Cheng
• Robert M Cherne, O.D.
• Jennifer Childers, MSSA, LISW-S
• Children's Dental Specialists of Lake County, DRS. Richards and Miller
• Charlene Felicia Chinchar, LPN
• Chiro Life LLC

• Mental Health Counselor in Mentor, OH
• Providers in Mentor, 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 Dec 4, 2024; 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.