MR. CARL JAMES VONDRACEK M ED, PCC-S
NPI 1487170163
Counselor - Mental Health in Beachwood, OH

Active since August 15, 2017PECOS Enrolled
24075 COMMERCE PARK, BEACHWOOD, OH 44122(216) 292-3999 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2018, Aug 15, 2017 (2 updates tracked since 2017).

About Mr. Carl James Vondracek M Ed, Pcc-s NPPES

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

MR. CARL JAMES VONDRACEK M ED, PCC-S (NPI 1487170163) is an individual mental health provider in Beachwood, Ohio, licensed in Ohio (E.0900631-SUPV) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487170163
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CARL JAMES VONDRACEKCredential: M ED, PCC-S
Location Address24075 COMMERCE PARKBeachwood, OH 44122-5846
Mailing Address24075 Commerce ParkBeachwood, OH 44122-5846 · (216) 292-3999
Sole ProprietorYes
Enumeration DateAugust 15, 2017
Last NPPES UpdateDecember 11, 20182 updates tracked since enumeration
✔ NPI 1487170163 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.0900631-SUPV
24075 COMMERCE PARK, Beachwood, OH 44122

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Carl James Vondracek M Ed, Pcc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Carl Vondracek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
190 CURRIE HALL PKWY
Kent, OH 44240
  • Reassigned Medicare billing, Ohio enrollment
  • 22 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Ophthalmology (Retina Specialist)
24075 COMMERCE PARK
BEACHWOOD, OH 44122
Social Worker (Clinical)
24075 COMMERCE PARK
BEACHWOOD, OH 44122
Social Worker (Clinical)
24075 COMMERCE PARK
BEACHWOOD, OH 44122
Social Worker (Clinical)
24075 COMMERCE PARK
BEACHWOOD, OH 44122
Social Worker (Clinical)
24075 COMMERCE PARK
BEACHWOOD, OH 44122
Case Manager/Care Coordinator
24075 COMMERCE PARK
BEACHWOOD, OH 44122
Ophthalmology
24075 COMMERCE PARK
BEACHWOOD, OH 44122
Case Manager/Care Coordinator
24075 COMMERCE PARK
BEACHWOOD, OH 44122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Vondracek's NPI number?

The NPI number for Carl Vondracek is 1487170163. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Where is Carl Vondracek located?

Carl Vondracek practices at 24075 Commerce Park, Beachwood, OH 44122. The listed phone number is (216) 292-3999.

What is Carl Vondracek's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Carl Vondracek enrolled in Medicare?

Yes. Carl Vondracek is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carl Vondracek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Vondracek reassigns Medicare benefits to Gary Robinson & Associates LLC (Kent, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Vondracek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Vondracek accept?

Health plans from CareSource and MedMutual list Carl Vondracek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carl Vondracek was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.