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Timothy Hall , PCC-S

Counselor • Berea, OH

Active NPI 1093286320 Individual Practitioner Male Practitioner
Practice location in NPPES

275 Eastland Rd
Berea, OH 440172005

Call 4408262037 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

275 Eastland Rd

Berea, OH 440172005

Telephone 4408262037

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Berea and Ohio

10 active clinicians are listed under Counselor with a practice address in Berea, OH (4,098 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OH E1200395

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Bailey Burgan , PA-C

Physician Assistant

NPI 1871244632

Physician Assistant (Certified)

Elizabeth Csukker

Student in an Organized Health Care Education/Training Program

NPI 1285346163
Vincent Evanoff , PA-C

Physician Assistant - Medical

NPI 1720602105

Physician Assistant (Certified)

Linda Florian

Nurse Practitioner - Family

NPI 1659964021
Elizabeth Kiefer

Physician Assistant

NPI 1134832751
Nicole Kobak-Birk , PA-C

Physician Assistant

NPI 1609460906

Physician Assistant (Certified)

Career & Practice History

NPI enumerated December 16, 2018.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2019 to August 2026.

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NPI Administrative Meta

NPI Number: 1093286320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2018
Last Update: December 16, 2018
Sole Proprietor: No

Mailing Address

19553 Overland Park Dr

Strongsville, OH 441498737

Phone: 9372713385

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.