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Philip Smith , LPCC

Counselor - Professional β€’ Stow, OH

Active NPI 1609280809 Individual Practitioner Male Practitioner
Practice location in NPPES

2971 Graham Rd
Stow, OH 442243619

Call 3306887981 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

2971 Graham Rd

Stow, OH 442243619

Telephone 3306887981
Fax 3306887469
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Kent, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2014

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, β€œDoes 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 Stow and Ohio

10 active clinicians are listed under Counselor - Professional with a practice address in Stow, OH (6,790 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Addresses are self-reported to NPPES and may be out of date.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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-03
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.1200557
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

Secondary Practice Locations

5982 Rhodes Rd

Kent, OH 442408100

Phone: 3306731347

Clinicians Sharing This Practice Address or Phone

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

8 listed
Dr. James Bailey , MD

Family Medicine

NPI 1669458782

Doctor of Medicine (M.D.)

Kristen Barath , CNP

Nurse Practitioner - Adult Health

NPI 1649259771

Certified Nurse Practitioner

Tara Ferguson , CNP

Nurse Practitioner - Family

NPI 1881052744

Certified Nurse Practitioner

Donna Foradori , APRN CNP

Nurse Practitioner - Family

NPI 1750161436

Advanced Practice Registered Nurse - Certified Nurse Practitioner

NPI 1588640668

Doctor of Medicine (M.D.)

Amy Mikusa , APRN CNP

Nurse Practitioner - Gerontology

NPI 1285034116

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location November 03, 2023

Registered at 2971 GRAHAM RD, STOW, OH 442243619 (Tel: 3306887981)

πŸ“
Updated Business Mailing Address November 03, 2023

Registered at PO BOX 932909, CLEVELAND, OH 441932909 (Tel: 3308544281)

πŸ“
Updated Practice Location April 12, 2018

Registered at 5982 RHODES RD, KENT, OH 442408100 (Tel: 3306731347)

πŸ“
Updated Business Mailing Address April 12, 2018

Registered at 5982 RHODES RD, KENT, OH 442408100 (Tel: 3306731347)

πŸ‘€
Provider Name / Credentials Updated April 12, 2018

Recorded as PHILIP SMITH, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2018

Counselor (license number reported to NPPES: OH E.1200557)

βœ…
NPI Profile Active June 16, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 16, 2014

Registered at 4822 MARKET ST, SUITE 300, YOUNGSTOWN, OH 445122148 (Tel: 3305448005)

πŸ“
Business Mailing Address (Initial Record) June 16, 2014

Registered at 165 E PARK AVE, P.O. BOX 683, NILES, OH 444462352 (Tel: 3305448005)

πŸ‘€
Provider Name / Credentials (Initial Record) June 16, 2014

Recorded as PHILIP SMITH, LPC/CR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2014

Counselor (license number reported to NPPES: OH C1200557)

🟒
Initial NPI Registration & Enumeration June 16, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609280809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2014
Last Update: November 03, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 932909

Cleveland, OH 441932909

Phone: 3308544281

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.