Active NPI
Beverly Major, LPCC-S
- Mental Health Counselor
- Medina, OH
National Provider Identifier
1912399122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E1800546
- Practice address
- 3443 Medina Rd Ste 101C
Medina, OH 44256-5965 - Phone
- (330) 975-0079
- NPI assigned
- Feb 25, 2015
- Last updated
- Aug 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E1800546 | OH | Primary |
| Professional Counselor | 101YP2500X | E1800546 | OH |
Addresses
Primary practice location
3443 Medina Rd Ste 101C
Medina, OH 44256-5965
Mailing address
PO Box 561
Sharon Center, OH 44274-0561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1800546 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soul's Journey Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
3443 Medina Rd
Ste 101C
Medina, OH 44256
Phone (216) 285-0304
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1912399122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 561",
"city": "SHARON CENTER",
"state": "OH",
"postal_code": "442740561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 MEDINA RD STE 101C",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565965",
"telephone_number": "330-975-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAJOR",
"first_name": "BEVERLY",
"credential": "LPCC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-25",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E1800546",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E1800546",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.