Active NPI
Kristina Metcalf, LPC
- Mental Health Counselor
- Beachwood, OH
National Provider Identifier
1972059301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.1700485
- Practice address
- 23240 Chagrin Blvd Ste 500
Beachwood, OH 44122 - Phone
- (216) 292-6007
- NPI assigned
- Aug 26, 2016
- Sex
- Female
- Sole proprietor
- No
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 | |||
| Mental Health Counselor | 101YM0800X | C.1700485 | OH | Primary |
Addresses
Primary practice location
23240 Chagrin Blvd Ste 500
Beachwood, OH 44122
Mailing address
3924 Wyndham Ridge Dr Apt 206
Stow, OH 44224-6174
Phone (216) 394-3060
Other practice location 1
18 N Forge St
Akron, OH 44304-1317
Phone (330) 762-0591
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 |
|---|---|---|---|
| C.1700485 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Management Associates, Inc | Past | Accepting new patients | |
| Child Guidance & Family Solutions | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Beachwood, OH
- NPI 1144338062
-
- Adolescent and Children Mental Health Clinic/Center
- Akron, OH
- NPI 1922105147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1972059301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3924 WYNDHAM RIDGE DR APT 206",
"city": "STOW",
"state": "OH",
"postal_code": "442246174",
"telephone_number": "216-394-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23240 CHAGRIN BLVD STE 500",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "44122",
"telephone_number": "216-292-6007"
}
],
"practiceLocations": [
{
"address_1": "18 N Forge St",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443041317",
"country_code": "US",
"telephone_number": "330-762-0591",
"fax_number": "330-762-2242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "METCALF",
"first_name": "KRISTINA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1700485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
- Menorah Park Center for Senior Living
- Menorah Park Center for Senior Living
- Menorah Park Center for Senior Living Bet Moshav Zekenim Hadati
- Darlisha Merritt
- Christine Catherine Messner, PT
- Metrohealth Medical Center
- Donald Meyer III
- Kathleen Ellen Meyer, DNP, GCNS-BC
- Oren I Meyers, PHD
- Fatima Mezzat
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.