Healthcare Provider Details

I. General information

NPI: 1164227724
Provider Name (Legal Business Name): KARA DONATO CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 NORTHLAND DR STE 200A
MEDINA OH
44256-3440
US

IV. Provider business mailing address

246 NORTHLAND DR STE 200A
MEDINA OH
44256-3440
US

V. Phone/Fax

Practice location:
  • Phone: 330-725-9195
  • Fax:
Mailing address:
  • Phone: 330-725-9195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.191076
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: