Phyllis Ann Vair, M.ED., LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C.1500573 Issued in OH

Practice address

135 E Erie St Ste 302
Kent, OH 44240-3594

Phone

(330) 593-5959

NPI assigned

Sep 7, 2017

Last updated

Sep 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kelly Reeves Memorial FoundationGroup PAC ID 2961885314, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kelly Reeves Memorial Foundation

  dba Kelly's Grief Center

  • Professional Counselor
  • Kent, OH
  • NPI 1295220986
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1073031373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 SUMMIT RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663513",
            "telephone_number": "330-807-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E ERIE ST STE 302",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442403594",
            "telephone_number": "330-593-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIR",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1500573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubree Uhler
• United Podiatry Inc
• University Chiropractic and Wellness
• Usrc Kent, LLC (U.S. Renal Care Kent Dialysis)
• Christina Vaclav
• Montavia Vanburen
• Melinda Vanderhoof
• Kathy Lyn Vandoros, LSW
• Amanda Vanke
• Kassandra Vansteenberg, CNP

• Counselor in Kent, OH
• Providers in Kent, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.