Cornerstone Behavioral Health Llc | |
780 E 185th St Cleveland OH 44119-2174 | |
(216) 681-9264 | |
(216) 282-8596 |
Full Name | Cornerstone Behavioral Health Llc |
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Speciality | Counselor |
Location | 780 E 185th St, Cleveland, Ohio |
Authorized Official Name and Position | Caleb Folkerts (OWNER) |
Authorized Official Contact | 6189731889 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cornerstone Behavioral Health Llc 14837 Detroit Ave # 193 Lakewood OH 44107-3909 Ph: (618) 973-1889 | Cornerstone Behavioral Health Llc 780 E 185th St Cleveland OH 44119-2174 Ph: (216) 681-9264 |
NPI Number | 1700407517 |
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Provider Enumeration Date | 05/04/2020 |
Last Update Date | 05/05/2023 |
Certification Date | 05/05/2023 |
Medicare PECOS PAC ID | 4385000587 |
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Medicare Enrollment ID | O20230512001969 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700407517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Nancy M Distefano |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699124198 PECOS PAC ID: 5799053013 Enrollment ID: I20170609001004 |
Provider Name | Kelly M Salapski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871198077 PECOS PAC ID: 3870987134 Enrollment ID: I20220302001579 |
Provider Name | Danny Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215414628 PECOS PAC ID: 0143564252 Enrollment ID: I20230727002247 |
Provider Name | Meghan Fawcett |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1457503435 PECOS PAC ID: 4183075278 Enrollment ID: I20240112003922 |
Provider Name | Caleb Folkerts |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1326691403 PECOS PAC ID: 6103282306 Enrollment ID: I20240507000510 |
Provider Name | Kristi Anderson Wilson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649697822 PECOS PAC ID: 7517309487 Enrollment ID: I20240523000583 |
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