AMEERAH M BOARD PCC-S
NPI 1124257266
Counselor - Mental Health in Cleveland, OH

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since July 10, 2009PECOS Enrolled

3518 W 25TH ST, CLEVELAND, OH 44109(216) 865-1982(216) 739-3639 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 12, 2019, Jul 13, 2016 (2 updates tracked since 2016).

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About Ameerah M Board Pcc-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMEERAH M BOARD PCC-S (NPI 1124257266) is an individual mental health provider in Cleveland, Ohio, licensed in Ohio (E.0008240-SUPV) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1124257266

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameAMEERAH M BOARDCredential: PCC-S

Location Address3518 W 25TH STCleveland, OH 44109-1951

Mailing Address3518 W 25th StCleveland, OH 44109-1995 · (216) 865-1982 · Fax (216) 739-3639

Phone(216) 865-1982

Fax(216) 739-3639

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJuly 10, 2009

Last NPPES UpdateDecember 12, 20192 updates tracked since enumeration

✔ NPI 1124257266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · E.0008240-SUPV

3518 W 25TH ST, Cleveland, OH 44109

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Other Identifiers 1

Medicaid0268768OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ameerah M Board Pcc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325526833

PECOS Enrollment IDI20260127003679

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEDA SARIC MSW

Social Worker (Clinical)