Provider Demographics
NPI:1114040508
Name:COUNSELING.CONSULTING.CARE, INC.
Entity type:Organization
Organization Name:COUNSELING.CONSULTING.CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:216-642-8283
Mailing Address - Street 1:3690 ORANGE PLACE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4465
Mailing Address - Country:US
Mailing Address - Phone:216-642-8283
Mailing Address - Fax:216-937-0187
Practice Address - Street 1:3690 ORANGE PLACE
Practice Address - Street 2:SUITE 170
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122
Practice Address - Country:US
Practice Address - Phone:216-642-8283
Practice Address - Fax:216-937-0187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5165553OtherOTHER
OHCP 03024Medicare PIN
OH9325912Medicare PIN