MIND & BODY COUNSELING SOLUTIONS (NPI# 1437617016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437617016 |
| Entity Type | Organization |
| Organization Name | MIND & BODY COUNSELING SOLUTIONS |
| Practice Address |
34 Fairlawn Ave Boardman OH 44512-1561 |
| Practice Telephone | 3303978001 |
| Mailing Telephone | 3303978001 |
| Enumeration Date | 2019-03-03 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | MR. JACOB M TELEGO (PSYCHOTHERAPIST/CEO) |
| Authorized Official Telephone | 3303978001 |
| Authorized Official Credential | LPCC-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0215964 | 05 | |
| OH | 0344066 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9110 N Lima Rd Apt 5, Poland, OH 445143235 | 3303978001 |
| Street Address |
34 FAIRLAWN AVE |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-1561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1477178721 | Kaelyn Rose Lindsay | Counselor | 104 Sw Kinkade Ave., Boardman, OR 97818 | 2020-06-12 |
| 1245870492 | Sara M. Channell | Counselor | 955 Windham Ct Ste 2, Boardman, OH 44512-5035 | 2020-01-15 |
| 1225674807 | Jose James Ortiz Jr. | Counselor | 104 Kinkade Ave, Boardman, OR 97818 | 2019-11-19 |
| 1447808845 | Kelsey Anne Phillips | Counselor | 955 Windham Court, Suite 2, Boardman, OH 44512-5035 | 2019-08-28 |
| 1306407135 | Olivia Jean Steffey | Counselor | 104 Sw Kinkade Ave, Boardman, OR 97836 | 2019-06-24 |
| 1083179527 | Zaira Sanchez | Counselor | 104 Sw Kinkade Avenue, Boardman, OR 97836 | 2019-02-08 |
| 1336512367 | Megan Elizabeth Mcconnell | Counselor | 833 Boardman Canfield Rd Ste 105, Boardman, OH 44512-4236 | 2015-11-13 |
| 1144660168 | Cydney M. Morgan | Counselor | 103 Sw Kinkade Rd., Boardman, OR 97818 | 2013-07-05 |
| 1801151121 | Mayra Colin Carrillo | Counselor | 104 S.w. Kinkade Rd., Boardman, OR 97818 | 2012-07-12 |
| Find all providers in BOARDMAN | ||||
Please comment or provide details below to improve the information on MIND & BODY COUNSELING SOLUTIONS.
| 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.