Cleveland Counseling Center

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CLEVELAND COUNSELING CENTER

Practice address

23360 Chagrin Blvd Ste 102
Beachwood, OH 44122-5537

Phone

(216) 533-6330

NPI assigned

Jan 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Sara E Roth, PH.D., IMFT-S, LPCNPI 1972840783

Title

Owner, Therapist

Phone

(216) 533-6330

Specialties & licenses 2

Addresses

Practitioners 1

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

• Sara E Roth, IMFT

  • Marriage & Family Therapist
  • Beachwood, OH
  • NPI 1972840783
  NPD (past) Authorized official

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1902360977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23360 CHAGRIN BLVD STE 102",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225537",
            "telephone_number": "216-533-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23360 CHAGRIN BLVD STE 102",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225537",
            "telephone_number": "216-533-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "216-533-6330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., IMFT-S, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Marriage & Family Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.