CROSSROADS LAKE COUNTY ADOLESCENT COUNSELING SERVICE (NPI# 1518226075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518226075 |
| Entity Type | Organization |
| Organization Name | CROSSROADS LAKE COUNTY ADOLESCENT COUNSELING SERVICE |
| Practice Address |
8445 Munson Road Mentor OH 44060 |
| Practice Telephone | 4402551700 |
| Practice Fax Number | 4402052417 |
| Mailing Telephone | 4402551700 |
| Mailing Fax Number | 4402052417 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2017-07-21 |
| Authorized Official Name | MR. MICHAEL MATONEY (CEO) |
| Authorized Official Telephone | 4402551700 |
| Authorized Official Credential | MB, LICDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2863727 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154680627 | Crossroads Lake County Adolescent Counseling Service | Community/Behavioral Health | 8445 Munson Road, Mentor, OH 44060 | 2012-05-03 |
| Street Address |
8445 MUNSON ROAD |
| City | MENTOR |
| State | OH |
| Zip Code | 44060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477686640 | Kathryn Elizabeth Varga | Social Worker | 8445 Munson Road, Mentor, OH 44060 | 2007-03-14 |
| 1871011098 | Jessica Ann Ward | Counselor | 8445 Munson Road, Mentor, OH 44077 | 2017-09-08 |
| 1912428368 | Linda Patricia Verba | Counselor | 8445 Munson Road, Mentor, OH 44060 | 2017-07-06 |
| 1154680627 | Crossroads Lake County Adolescent Counseling Service | Community/Behavioral Health | 8445 Munson Road, Mentor, OH 44060 | 2012-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073873683 | Janeane Marie Grisez | Counselor | 8500 Station St Ste 285, Mentor, OH 44060-4972 | 2012-05-17 |
| 1679839344 | Michele Diane Turner | Counselor | 7519 Mentor Ave # A103, Mentor, OH 44060-5434 | 2012-04-07 |
| 1497035067 | Dennis Michelson | Counselor | 9083 Mentor Ave, Mentor, OH 44060-6462 | 2011-08-26 |
| 1477684355 | Patricia Ann Smith | Counselor | 8445 Munson, Mentor, OH 44118 | 2007-03-09 |
| 1235113697 | William Scott Veenstra | Counselor | 8351 Mentor Ave, Mentor, OH 44060-5749 | 2005-11-30 |
| 1871107250 | Nicole Rose Monyak | Counselor | 7232 Justin Way, Mentor, OH 44060-4881 | 2020-09-03 |
| 1396357455 | Kim Occhipinti | Counselor | 7232 Justin Way, Mentor, OH 44060-4881 | 2020-08-20 |
| 1740827245 | Janet A Malm | Counselor | 9083 Mentor Ave, Mentor, OH 44060-6462 | 2019-12-03 |
| 1518514629 | Jessica Lynn Jones | Counselor | 9220 Mentor Ave, Mentor, OH 44060-6412 | 2019-08-22 |
| 1427513423 | Melissa Dawn Geiger-dugandzic | Counselor | 9083 Mentor Ave, Mentor, OH 44060-6462 | 2019-02-04 |
| Find all providers in MENTOR | ||||
Please comment or provide details below to improve the information on CROSSROADS LAKE COUNTY ADOLESCENT COUNSELING SERVICE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.