THERESA GILL LPCC NPI 1003420076

Counselor in Mentor, OH

NPI 1003420076 Individual Female Counselor

About THERESA GILL

Theresa Gill is a provider established in Mentor, Ohio and her medical specialization is counselor. The NPI number of Theresa Gill is 1003420076 and was assigned on September 2020. The practitioner's primary taxonomy code is 101Y00000X with license number E.1800746 (OH). The provider is registered as an individual and her NPI record was last updated July 2021.

Theresa Gill is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003420076

Provider Name THERESA GILL LPCC
Provider Location Address7232 JUSTIN WAY MENTOR, OH 44060
Provider Mailing Address7232 JUSTIN WAY MENTOR, OH 44060
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-07-2020
Last Update Date07-11-2021


Primary Taxonomy

Taxonomy Code101Y00000X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
License No.E.1800746
License StateOH
Taxonomy DescriptionA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Business Address

THERESA GILL LPCC
7232 JUSTIN WAY
MENTOR, OH
ZIP 44060
Phone: (440) 578-8200

Get Directions


Mailing Address

THERESA GILL LPCC
7232 JUSTIN WAY
MENTOR, OH
ZIP 44060
Phone: (440) 578-8200



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalE.1800746OHNo

Taxonomy Description: Not Available

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0416997MEDICAID (05)OH

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518431352 BRETT BENNETT
Individual
Case Manager/Care Coordinator7232 JUSTIN WAY
MENTOR, OH 44060
(440) 953-9999
1467084889 ALEXANDRA SHAFER
Individual
Licensed Practical Nurse7232 JUSTIN WAY
MENTOR, OH 44060
(440) 578-8200
1871106948 ANTHONY PATRICK KOCH
Individual
Case Manager/Care Coordinator7232 JUSTIN WAY
MENTOR, OH 44060
(440) 754-2078
1871107250 NICOLE ROSE MONYAK LPC, CDCA, AT
Individual
Counselor (Professional)7232 JUSTIN WAY
MENTOR, OH 44060
(440) 953-9999
1255946026 DONNA MARIE STOKES
Individual
Licensed Practical Nurse7232 JUSTIN WAY
MENTOR, OH 44060
(440) 578-8200
1144837006 JOHN ROBERT MAGERKO PBT(ASCP)
Individual
Technician, Pathology (Phlebotomy)7232 JUSTIN WAY
MENTOR, OH 44060
(440) 578-8200
1760099428 LISA QUERCIOLI LPN
Individual
Licensed Practical Nurse7232 JUSTIN WAY
MENTOR, OH 44060
(440) 578-8200
1255948592 NATALIE ARNOLD
Individual
Case Manager/Care Coordinator7232 JUSTIN WAY
MENTOR, OH 44060
(440) 853-1501
1700493905 DANIELLA ANNE PONOMARENKO
Individual
Licensed Practical Nurse7232 JUSTIN WAY
MENTOR, OH 44060
(440) 578-8200
1033695499MR. RICHARD E JENKINS LPC
Individual
Counselor (Professional)7232 JUSTIN WAY
MENTOR, OH 44060
(440) 578-8200
1720594708 COLLEEN MALONEY GARLOCK LSW
Individual
Case Manager/Care Coordinator7232 JUSTIN WAY
MENTOR, OH 44060
(440) 953-9999
1821649567MS. ALIYAH S ROGERS QHMS
Individual
Case Manager/Care Coordinator7232 JUSTIN WAY
MENTOR, OH 44060
(440) 578-8200
1639714462 MICHAEL SANKEY
Individual
Case Manager/Care Coordinator7232 JUSTIN WAY
MENTOR, OH 44060
(440) 754-2078
1518564483 DENZEL HENDERSON
Individual
Case Manager/Care Coordinator7232 JUSTIN WAY
MENTOR, OH 44060
(440) 578-8200
1154928810MRS. RENEE S. HOWELL MSSA
Individual
Social Worker (Clinical)7232 JUSTIN WAY
MENTOR, OH 44060
(440) 578-8200
1891392361 JENNIFER KVORIAK
Individual
Technician, Pathology (Phlebotomy)7232 JUSTIN WAY
MENTOR, OH 44060
(440) 754-2078
1053919126 JOANNA LYN CALABRIS RN
Individual
Registered Nurse7232 JUSTIN WAY
MENTOR, OH 44060
(440) 578-8200
1417555921 YALONDA ROBINSON
Individual
Specialist/Technologist, Health Information7232 JUSTIN WAY
MENTOR, OH 44060
(440) 578-8200
1750940086 MICHELE SANDERS
Individual
Case Manager/Care Coordinator7232 JUSTIN WAY
MENTOR, OH 44060
(440) 754-2078
1215539580 JENNIFER L FERRANTE
Individual
Case Manager/Care Coordinator7232 JUSTIN WAY
MENTOR, OH 44060
(440) 754-2078

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.