MEDICARE: ARIEL E. KOLLANGI LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor	E.2404458	OH
3	101YP2500X	Professional Counselor	CC4635	ME

General Provider Information

NPI Number	:	1659793636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL E. KOLLANGI LPCC

Provider Business Mailing Address
First Line	:	25101 CHAGRIN BLVD STE 100&200
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5643
Country	:	US
Telephone Number	:	833-660-0239
Fax Number	:	216-456-8128

Provider Business Practice Location Address
First Line	:	25101 CHAGRIN BLVD STE 100&200
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5643
Country	:	US
Telephone Number	:	833-660-0239
Fax Number	:	216-456-8128

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2014
Last Update Date	:	04/16/2026

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