MR. RONALD JAMES KONKOLY PCC LICDC NPI 1154352649

NPI Information

NPI: 1154352649
Provider Name: MR. RONALD JAMES KONKOLY, PCC, LICDC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
388 S BROADWAY
SUNRISE COUNSELING SERVICES
GENEVA, OH
ZIP 44041
Phone: (440) 466-0320
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MR. Ronald James Konkoly, PCC, LICDC is a professional counselor in Geneva, OH. MR. Ronald James Konkoly, PCC, LICDC NPI is 1154352649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

388 S BROADWAY
SUNRISE COUNSELING SERVICES
GENEVA, OH
ZIP 44041-809
Phone: (440) 466-0320
Fax: (440) 466-0319

The enumeration date for this NPI number is 7/5/2006 and was last updated on 12/3/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	976016	OHIO	No
2	101YP2500X	Counselor	Professional	E-0003442	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	341300581042	OTHER	OHIO	CARESOURCE
2	2457532	MEDICAID	OHIO
3	358174	OTHER	OHIO	WELLCARE
4	745395	OTHER	OHIO	CENPATICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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