Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Carl James Vondracek, MED, PCC-S

Individual provider Mental Health Counselor · NPI 1487170163

Mr. Carl James Vondracek, MED, PCC-S is a Mental Health Counselor in Beachwood, Ohio. Qualified in 2010, 16 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
16
Licensed in
OH
In the registry since
2017
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

24075 Commerce Park
Beachwood, OH 44122-5846
Phone: (216) 292-3999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence E.0900631-SUPV (OH)

Record details

NPI number1487170163
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , PCC-S
Sole proprietorYes
NPI enumeratedAugust 15, 2017
Last updated in NPPESDecember 11, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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