NPIMap

Organization Active NPI

Lenzy Family Institute

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Canton, OH
National Provider Identifier
1003307810
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
0001362 Issued in OH
Legal business name
LENZY FAMILY INSTITUTE
Practice address
1930 Fulton Rd NW Ste 103
Canton, OH 44709-3526
Phone
(330) 956-5936
NPI assigned
May 29, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Lenzy, LPCC-S
Title
Ceo
Phone
(330) 956-5936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0001362 OH Primary

Addresses

Primary practice location

1930 Fulton Rd NW Ste 103
Canton, OH 44709-3526

Mailing address

1930 Fulton Rd NW Ste 103
Canton, OH 44709-3526
Phone (330) 956-5936

Other practice location 1

3757 Cleveland Ave NW
Canton, OH 44709-2374
Phone (330) 956-5936

Other identifiers 1

IdentifierTypeStateIssuer
0054717MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Lenzy Family Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1930 Fulton Rd NW
Ste 103
Canton, OH 44709
Phone (330) 956-5936

3757 Cleveland Ave NW
Canton, OH 44709
Phone (330) 493-8250

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 48

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1003307810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 FULTON RD NW STE 103",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093526",
            "telephone_number": "330-956-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 FULTON RD NW STE 103",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093526",
            "telephone_number": "330-956-5936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3757 Cleveland Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447092374",
            "country_code": "US",
            "telephone_number": "330-956-5936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LENZY FAMILY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LENZY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-956-5936",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "0001362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054717",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.