| Thomas J Supan, LPCC | |
|
12300 Mccracken Rd, Garfield Heights, OH 44125-2914 | |
| (216) 587-8350 | |
| (216) 587-8646 |
| Full Name | Thomas J Supan |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 12300 Mccracken Rd, Garfield Heights, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346260072 | NPI | - | NPPES |
| 741000 | Other | OH | BUCKEYE HEALTH PLAN |
| 7745428 | Other | OH | AETNA |
| 353306 | Other | OH | WELLCARE HEALTH PLAN |
| T00988 | Other | OH | SUMMACARE HEALTH PLAN |
| 000000216098 | Other | OH | ANTHEM BLUE CROSS PIN |
| 000000216098 | Other | OH | UNICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E-988 (Ohio) | Primary |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Supan, LPCC 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 Ph: (216) 587-8350 | Thomas J Supan, LPCC 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 Ph: (216) 587-8350 |
Jason Hubbard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12395 Mccracken Rd, Garfield Heights, OH 44125 Phone: 216-587-6727 | |
Mrs. Jennifer Myers, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5350 Transportation Blvd Ste 22, Garfield Heights, OH 44125 Phone: 216-677-4673 Fax: 216-865-6050 | |
Olivia Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5706 Turney Rd Ste 200, Garfield Heights, OH 44125 Phone: 216-970-8714 | |
Ms. Katie Lucille Galland, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 13201 Granger Rd, Garfield Heights, OH 44125 Phone: 216-831-4215 | |
David D Steinberger, Counselor Medicare: Medicare Enrolled Practice Location: 12395 Mccracken Rd, Garfield Heights, OH 44125 Phone: 216-587-6727 | |
Trina Vaughn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13300 Eastwood Blvd, Garfield Heights, OH 44125 Phone: 440-319-7892 | |
Louis C Martin, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 13802 S Parkway Dr, Garfield Heights, OH 44105 Phone: 216-507-8056 |