Nick Martin Chmura, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1662 Mars Ave
Lakewood, OH 44107-3825

Phone

(216) 282-3838

NPI assigned

Aug 21, 2018

Last updated

Sep 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Grow Well Cleveland, LLC

  dba Grow Well Cleveland

  • Mental Health Counselor
  • Sheffield Village, OH
  • NPI 1295244317
  Medicare reassignment NPD

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1932689692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 MARS AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073825",
            "telephone_number": "216-282-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 MARS AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073825",
            "telephone_number": "216-282-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38882 Mentor Ave",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440947875",
            "country_code": "US",
            "telephone_number": "440-953-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHMURA",
        "first_name": "NICK",
        "middle_name": "MARTIN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0309253",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Check
• Christopher Terence Checkett, LISW
• Jessica Lynn Chicatelli, PCC
• Julia Chick
• Chiropractic Health Services, Inc
• Chris Checkett LLC
• Christinas Counseling Services LLC
• Joselita Chua, M.D.
• City of Lakewood
• City of Lakewood - Division of Health

• Mental Health Counselor in Lakewood, OH
• Providers in Lakewood, 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 Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.