The Connected Counselor

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE CONNECTED COUNSELOR

Practice address

2189 Professor Ave
Cleveland, OH 44113-3634

Phone

(216) 505-0959

NPI assigned

Nov 1, 2022

Last updated

Mar 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carl Poythress, NA

Title

Authorized Agent

Phone

(216) 645-2746

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deandra Poythress, LISW-S

  • Clinical Social Worker
  • Browning, MT
  • NPI 1750824678
  NPD

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1902513690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 PROFESSOR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133634",
            "telephone_number": "216-505-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2189 PROFESSOR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133634",
            "telephone_number": "216-505-0959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13510 Wainstead Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441114954",
            "country_code": "US",
            "telephone_number": "216-645-2746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CONNECTED COUNSELOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "POYTHRESS",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "216-645-2746",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen (The Covenant, Inc.)
• The Deliverance Overcoming Church of God
• The Family Eye Care Center
• The Foot and Ankle Clinic LLC

• Clinical Social Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.