Individual provider Active NPI

Noha Everetts

  • Mental Health Counselor
  • Medina, OH
National Provider Identifier
1073677548
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E3852 Issued in OH
Practice address
230 S Court St
Suite 8
Medina, OH 44256-2259
Phone
(330) 723-7977
Fax
(330) 725-5177
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 E3852 OH Primary

Addresses

Primary practice location

230 S Court St
Suite 8
Medina, OH 44256-2259

Mailing address

230 S Court St
Suite 8
Medina, OH 44256-2259
Phone (330) 723-7977

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
I20240412002181 OH Practitioner - Mental Health Counselor 3779922588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Avenues of Counseling and MediationGroup PAC ID 6406931880, 27 clinicians

Practice addresses (Care Compare)

230 S Court St
Suite 5
Medina, OH 44256-2259
Phone (330) 723-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3852OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues of Counseling and Mediation Mental Health CurrentSince Apr 16, 2024 Accepting new patients
Lisa Borchert Dba Avenues of Counseling Mental Health PastSince Apr 16, 2024 Accepting new patients
Southwest General Health Center Past Accepting new patients

Locations

843 N Cleveland Massillon Rd
Ste 6
Fairlawn, OH 44333
Phone (330) 723-7977

230 S Court St
Ste 5
Medina, OH 44256
Phone (330) 723-7977

230 S Court St
Ste 8
Medina, OH 44256
Phone (330) 723-7977

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073677548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S COURT ST",
            "address_2": "SUITE 8",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562259",
            "telephone_number": "330-723-7977",
            "fax_number": "330-725-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S COURT ST",
            "address_2": "SUITE 8",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562259",
            "telephone_number": "330-723-7977",
            "fax_number": "330-725-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETTS",
        "first_name": "NOHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E3852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.