Provider Demographics
NPI:1205059433
Name:ORIRI, ABEL ODOYO (LPCC)
Entity type:Individual
Prefix:
First Name:ABEL
Middle Name:ODOYO
Last Name:ORIRI
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3846 BAINBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2246
Mailing Address - Country:US
Mailing Address - Phone:216-371-3405
Mailing Address - Fax:216-371-4597
Practice Address - Street 1:1991 LEE RD
Practice Address - Street 2:SUITE 10
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2571
Practice Address - Country:US
Practice Address - Phone:216-371-4505
Practice Address - Fax:216-371-4597
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0001669101YA0400X, 106H00000X, 101YP1600X, 101YP2500X, 101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH226098000OtherMAGELLAN
OH246638OtherVALUE OPTION
OH0191028Medicaid
OH294948799OtherCARE SOURCE
53143805OtherUBH