Organization Active NPI

Green-Fisher Farm

  • Mental Health Counselor
  • Novelty, OH
National Provider Identifier
1104614023
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GREEN-FISHER FARM
Practice address
9001 Kinsman Rd
Novelty, OH 44072-9638
Phone
(440) 623-3124
NPI assigned
Apr 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Ms. Toni Lima, LISW-SNPI 1386203701
Title
Ceo
Phone
(440) 623-3124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9001 Kinsman Rd
Novelty, OH 44072-9638

Mailing address

9001 Kinsman Rd
Novelty, OH 44072-9638
Phone (440) 623-3124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260128002501 OH Part B Supplier - Clinic/Group Practice 6800374265 Receives reassigned benefits from 1 practitioner
Practice locations: Novelty, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1104614023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 KINSMAN RD",
            "city": "NOVELTY",
            "state": "OH",
            "postal_code": "440729638",
            "telephone_number": "440-623-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 KINSMAN RD",
            "city": "NOVELTY",
            "state": "OH",
            "postal_code": "440729638",
            "telephone_number": "440-623-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN-FISHER FARM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "LIMA",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-623-3124",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novelty, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.