MAGNOLIA CLUBHOUSE INC
NPI 1902139033
Clinic/Center - Adult Mental Health in Cleveland, OH

Active since September 08, 2009
11101 MAGNOLIA DR, CLEVELAND, OH 44106(216) 721-3030(216) 721-0105 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Magnolia Clubhouse Inc NPPES

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

MAGNOLIA CLUBHOUSE INC (NPI 1902139033) is a healthcare organization registered as an adult mental health in Cleveland, Ohio and active in the NPI registry since September 2009. The organization lists Lori D'angelo, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902139033
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMAGNOLIA CLUBHOUSE INC
Location Address11101 MAGNOLIA DRCleveland, OH 44106-1813
Mailing Address11101 Magnolia DrCleveland, OH 44106-1813 · (216) 721-3030 · Fax (216) 721-0105
Fax(216) 721-0105
Organization SubpartNo
Authorized OfficialLori D'angeloExecutive Director · (216) 721-3030
Enumeration DateSeptember 8, 2009
Last NPPES UpdateJuly 17, 2014
✔ NPI 1902139033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
11101 MAGNOLIA DR, Cleveland, OH 44106

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magnolia Clubhouse Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Magnolia Clubhouse Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Social Worker
NPI 1497067995
11101 MAGNOLIA DR
Cleveland, OH 44106
(216) 721-3030
✔ PECOSSame address
Clinical Social Worker
NPI 1053366278
29525 CHAGRIN BLVD STE. 309
Pepper Pike, OH 44122
(216) 464-5592
✔ PECOS8.1 mi
Mental Health Counselor
NPI 1144793902
6140 S BROADWAY
Lorain, OH 44053
(440) 204-4120
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1760669758
1200 HARGETT ST
Jacksonville, NC 28540
(910) 219-1082
✔ PECOS519 mi

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

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 Magnolia Clubhouse Inc's NPI number?

The NPI number for Magnolia Clubhouse Inc is 1902139033. It was assigned to this organization in the NPPES registry on September 8, 2009.

Where is Magnolia Clubhouse Inc located?

Magnolia Clubhouse Inc is located at 11101 Magnolia Dr, Cleveland, OH 44106. The listed phone number is (216) 721-3030.

What is Magnolia Clubhouse Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Magnolia Clubhouse Inc enrolled in Medicare?

Yes. Magnolia Clubhouse Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Clubhouse Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Magnolia Clubhouse Inc, in Clinical Social Worker, Mental Health Counselor and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Magnolia Clubhouse Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Magnolia Clubhouse Inc 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 Magnolia Clubhouse Inc was last updated on July 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.