COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY – Adolescent and Children Mental Health Clinic/Center, NPI 1720029622

COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY is a healthcare provider. based in Ashtabula, Ohio. specializing in Adolescent and Children Mental Health Clinic/Center. The organization holds a License No. 0166 (OH). The NPI Number for COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY is 1720029622

Main info

Organization
Name
COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY
NPI
1720029622
Phone
(440) 998-4210
Address
2801 'C' COURT
Authorized Official
MR. PAUL SAMUEL BOLINO CEO M.S,ED.,LPCC-S, CDCA
Enumeration Date
10 June 2006
Last Update Date
1 June 2026
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY

  • Community Counseling Center of Ashtabula County, 2801, C Court, Edgewood, Ashtabula, Ashtabula Township, Ashtabula County, Ohio, 44004, United States

    ASHTABULA, OH 44004

    Phone: (440) 998-4210

    Fax: (440) 998-2247

    Type: Mailing

  • El Court, Ashtabula, Ashtabula County, Ohio, 44004, United States

    ASHTABULA, OH 440044577

    Phone: (440) 998-4210

    Fax: (440) 998-2247

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-06

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-05-31 (745 days ago).

Enrollment records

1

Earliest due date

2024-05-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20031106000414OClinic/Group PracticeOH2024-05-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44004)

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Reviews

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Frequently asked questions

What is COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY's NPI number?
COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY's NPI is 1720029622 — the number used across U.S. healthcare to identify this provider.
Is there an active status for COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY?
For scheduling context, COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY is shown as active in the registry.
What expertise is attributed to COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY?
COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY's specialty line reads Adolescent and Children Mental Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Where in Ohio is COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY registered?
Use Ashtabula, Ohio as the headline location for COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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