Active NPI
Alexis Lenardos
- Professional Counselor
- North Canton, OH
National Provider Identifier
1134854516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2305591
- Practice address
- 116 7TH Street Avenue NW
St 201
North Canton, OH 44720 - Phone
- (234) 209-9686
- Fax
- (234) 209-9686
- NPI assigned
- Jul 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CT.2204137-TRNE | OH | |
| Professional Counselor | 101YP2500X | C.2305591 | OH | Primary |
Addresses
Primary practice location
116 7TH Street Avenue NW
St 201
North Canton, OH 44720
Mailing address
116 7TH Street Avenue NW
St 201
North Canton, OH 44720
Phone (234) 209-9686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT.2204137-TRNE | OH | MD | Counselor |
| C.2305591 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Counseling and Recovery, LLC | Professional | Current | Accepting new patients |
| Greenleaf Family Center | Past | Accepting new patients | |
| Greenleaf Family Center | Single Specialty | Past | Accepting new patients |
Locations
116 7th St NW
#201
North Canton, OH 44720
Phone (234) 209-9686
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/greenleafctr/r4/
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.
-
- Professional Counselor
- North Canton, OH
- NPI 1194341016
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1255738456
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Akron, OH
- NPI 1457311466
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1134854516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 7TH STREET AVENUE NW",
"address_2": "ST 201",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "44720",
"telephone_number": "234-209-9686",
"fax_number": "234-209-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 7TH STREET AVENUE NW",
"address_2": "ST 201",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "44720",
"telephone_number": "234-209-9686",
"fax_number": "234-209-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENARDOS",
"first_name": "ALEXIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "CT.2204137-TRNE",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2305591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.