Individual provider Active NPI

Alexis Lenardos

  • Professional Counselor
  • North Canton, OH
National Provider Identifier
1134854516
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2305591 Issued in OH
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

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CT.2204137-TRNE OH
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
CT.2204137-TRNEOHMDCounselor
C.2305591OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Counseling and Recovery, LLC Professional CurrentSince Feb 4, 2024 Accepting new patients
Greenleaf Family Center PastSince Jul 1, 2022 Accepting new patients
Greenleaf Family Center Single Specialty PastSince Jul 1, 2022 Accepting new patients

Locations

116 7th St NW
#201
North Canton, OH 44720
Phone (234) 209-9686

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.