Thomas J Supan, LPCC | |
12300 Mccracken Rd, Garfield Heights, OH 44125-2914 | |
(216) 587-8350 | |
(216) 587-8646 |
Full Name | Thomas J Supan |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 12300 Mccracken Rd, Garfield Heights, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346260072 | NPI | - | NPPES |
741000 | Other | OH | BUCKEYE HEALTH PLAN |
7745428 | Other | OH | AETNA |
353306 | Other | OH | WELLCARE HEALTH PLAN |
T00988 | Other | OH | SUMMACARE HEALTH PLAN |
000000216098 | Other | OH | ANTHEM BLUE CROSS PIN |
000000216098 | Other | OH | UNICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E-988 (Ohio) | Primary |
Entity Name | The Cleveland Clinic Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Mailing Address | Practice Location Address |
---|---|
Thomas J Supan, LPCC 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 Ph: (216) 587-8350 | Thomas J Supan, LPCC 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 Ph: (216) 587-8350 |
Jason Hubbard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12395 Mccracken Rd, Garfield Heights, OH 44125 Phone: 216-587-6727 | |
Mrs. Jennifer Myers, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5350 Transportation Blvd Ste 22, Garfield Heights, OH 44125 Phone: 216-677-4673 Fax: 216-865-6050 | |
Olivia Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5706 Turney Rd Ste 200, Garfield Heights, OH 44125 Phone: 216-970-8714 | |
Ms. Katie Lucille Galland, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 13201 Granger Rd, Garfield Heights, OH 44125 Phone: 216-831-4215 | |
David D Steinberger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12395 Mccracken Rd, Garfield Heights, OH 44125 Phone: 216-587-6727 | |
Louis C Martin, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 13802 S Parkway Dr, Garfield Heights, OH 44105 Phone: 216-507-8056 | |
Ms. Brenda Buchanan, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 5410 Transportation Blvd, #4, Garfield Heights, OH 44125 Phone: 216-663-6100 |