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Active NPI 1689981607 Individual Practitioner Male Practitioner

Timothy A Berlin , PCC, SUPERVISOR

Counselor - Professional • Mentor, OH

Professional Overview & Biography Verified Profile Summary

Timothy Berlin, PCC, SUPERVISOR is a registered healthcare professional specializing in Counselor - Professional in Mentor, OH. Practice services are available at 7232 JUSTIN WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7232 Justin Way

Mentor, OH 440604881

Telephone 4405788200
Fax 2163783906
Associated Practice Facility / Clinic
🏢 Signature Health Inc. Facility NPI 1184170136

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Mentor, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
56 Specialists

Practicing in Mentor, OH (6923 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-29
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E,0007988-SUPV

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0268768 (OH)

Secondary Practice Locations

3737 Lander Rd

Pepper Pike, OH 441245712

Phone: 2168312255

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Tiffany Jones , MD

Psychiatry & Neurology - Psychiatry

NPI 1003082413

Doctor of Medicine (M.D.)

Jasmine Jordan , LSW

Social Worker - Clinical

NPI 1003111949

Licensed Social Worker

Ashley Focht

Counselor

NPI 1003329079
Fatimaah Fullilove , LSW, LICDC

Social Worker - Clinical

NPI 1003329228

Licensed Social Worker, LICDC

NPI 1003420076

Licensed Professional Clinical Counselor

NPI 1003420738

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 29, 2022

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

📍
Updated Business Mailing Address September 29, 2022

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

NPI Profile Active September 13, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2010

Registered at 3737 LANDER RD, PEPPER PIKE, OH 441245712 (Tel: 2168312255)

📍
Updated Business Mailing Address September 13, 2010

Registered at 11801 BUCKEYE RD, CLEVELAND, OH 441202620 (Tel: 2168312255)

👤
Provider Name / Credentials Updated September 13, 2010

Recorded as TIMOTHY BERLIN, PCC, SUPERVISOR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2010

Counselor (License #E,0007988-SUPV in OH)

🟢
Initial NPI Registration & Enumeration September 13, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689981607
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2010
Last Update: September 29, 2022
Sole Proprietor: No

Mailing Address

7232 Justin Way

Mentor, OH 440604881

Phone: 4405788200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.