Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790284396 Individual Practitioner Female Practitioner

Tae'lor Ann Windham

Counselor • Mentor, OH

Professional Overview & Biography Verified Profile Summary

Tae'Lor Windham is a registered healthcare professional specializing in Counselor 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
Associated Practice Facility / Clinic
🏢 Signature Health Inc. Facility NPI 1184170136

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Mentor, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
113 Specialists

Practicing in Mentor, OH (4163 Statewide)

Telehealth Adoption Rate
0.9% 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: 2022-10-03
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH C.2204531

A 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.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0283415 (OH)

Secondary Practice Locations

22001 Fairmount Blvd

Shaker Heights, OH 441184819

Phone: 2163206439

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.)

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
Clotilda Raymond

Social Worker

NPI 1003436825

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 03, 2022

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

📍
Updated Business Mailing Address October 03, 2022

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

📍
Updated Practice Location April 23, 2020

Registered at 22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 441184819 (Tel: 2163206439)

📍
Updated Business Mailing Address April 23, 2020

Registered at 22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 441184897 (Tel: 2163206439)

NPI Profile Active February 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2018

Registered at 400 TUSCARAWAS ST W STE 200, CANTON, OH 447022044 (Tel: 3304382400)

📍
Updated Business Mailing Address February 08, 2018

Registered at 111 GLAMORGAN ST APT 108, ALLIANCE, OH 446012918

👤
Provider Name / Credentials Updated February 08, 2018

Recorded as TAE'LOR WINDHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2018

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration February 08, 2018

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: 1790284396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2018
Last Update: October 03, 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.