Individual provider Active NPI

Karen Ann Kazsmer, M.A., LPCC

  • Mental Health Counselor
  • Lakewood, OH
National Provider Identifier
1063491579
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E-0002284 Issued in OH
Practice address
15522 Madison Ave
Lakewood, OH 44107-4024
Phone
(216) 544-4840
Fax
(440) 793-2099
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E-0002284 OH Primary

Addresses

Primary practice location

15522 Madison Ave
Lakewood, OH 44107-4024

Mailing address

2140 Atkins Ave
Lakewood, OH 44107-5406
Phone (216) 544-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418001504 OH Practitioner - Mental Health Counselor 7416396825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E-0002284OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1063491579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 ATKINS AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075406",
            "telephone_number": "216-544-4840",
            "fax_number": "440-793-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15522 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074024",
            "telephone_number": "216-544-4840",
            "fax_number": "440-793-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZSMER",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "M.A., LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E-0002284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.