Mr Brian Matthew Ayer, LPCC | |
12557 Ravenwood Dr, Chardon, OH 44024-9009 | |
(440) 285-3568 | |
Not Available |
Full Name | Mr Brian Matthew Ayer |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 12557 Ravenwood Dr, Chardon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639220361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | E050039 (Ohio) | Primary |
Entity Name | Ravenwood Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730356296 PECOS PAC ID: 6901813922 Enrollment ID: O20060316000394 |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
Mailing Address | Practice Location Address |
---|---|
Mr Brian Matthew Ayer, LPCC 15141 Sawgrass Ln, Middlefield, OH 44062-9045 Ph: (440) 632-5398 | Mr Brian Matthew Ayer, LPCC 12557 Ravenwood Dr, Chardon, OH 44024-9009 Ph: (440) 285-3568 |
Wendy Merlene Francis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 Fax: 440-285-4552 | |
Cassandra Bishop, Counselor Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553 | |
Erin Pond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 | |
Elizabeth Breyley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 South St # 4a, Chardon, OH 44024 Phone: 440-285-2170 | |
Jessica Brewster, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553 Fax: 440-286-1553 | |
Mrs. Maria Goudas, MA LPCCS Counselor Medicare: Medicare Enrolled Practice Location: 12557 Ravenwood Dr, Ravenwood Mental Health Center, Chardon, OH 44024 Phone: 440-285-3568 | |
Sandra E Bruss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 Auburn Rd, Chardon, OH 44024 Phone: 440-226-9144 |