Mr Justin Berenyi, LPCC | |
6663 Frank Ave Nw, North Canton, OH 44720-7259 | |
(330) 451-6028 | |
Not Available |
Full Name | Mr Justin Berenyi |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 6663 Frank Ave Nw, North Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942641295 | NPI | - | NPPES |
2584314 | Medicaid | OH | |
2901131 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 130252 (Ohio) | Secondary |
101YP2500X | Counselor - Professional | E.1200714 (Ohio) | Primary |
Entity Name | Coleman Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982637633 PECOS PAC ID: 2769474618 Enrollment ID: O20040331001085 |
Mailing Address | Practice Location Address |
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Mr Justin Berenyi, LPCC 6663 Frank Ave Nw, North Canton, OH 44720-7259 Ph: (330) 451-6028 | Mr Justin Berenyi, LPCC 6663 Frank Ave Nw, North Canton, OH 44720-7259 Ph: (330) 451-6028 |
Ms. Mary Cathleen Barrrett, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1303 W Maple St Ste 102, North Canton, OH 44720 Phone: 330-896-8910 | |
Laura Marie Kidd, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 N Main St, North Canton, OH 44720 Phone: 330-433-2688 | |
Annelyse Debellis, MA, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1469 S Main St, North Canton, OH 44720 Phone: 330-499-3065 Fax: 330-499-2497 | |
Mrs. Maureen R Cooper, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1469 S Main, Gentle Shepherd Counseling Center, North Canton, OH 44720 Phone: 330-499-3065 Fax: 330-499-2497 | |
Casey Quinn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 N Main St, North Canton, OH 44720 Phone: 330-433-2688 Fax: 330-433-2689 | |
Cynthia A. Zurbrugg, PCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 N Main St Ste 113-114, North Canton, OH 44720 Phone: 330-433-2688 Fax: 330-433-2689 | |
Ms. Jennie Lynne Levak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1303 W Maple St, North Canton, OH 44720 Phone: 330-966-8677 |