Active NPI
Anna Nicole Kadis, LLMFT
- Marriage & Family Therapist
- Mentor, OH
National Provider Identifier
1164285672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4151001131
- Practice address
- 7950 Mentor Ave Apt C4
Mentor, OH 44060-5655 - Phone
- (937) 367-1232
- NPI assigned
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4151001131 | MI | Primary |
Addresses
Primary practice location
7950 Mentor Ave Apt C4
Mentor, OH 44060-5655
Mailing address
7950 Mentor Ave Apt C4
Mentor, OH 44060-5655
Phone (937) 367-1232
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 |
|---|---|---|---|
| 4151001131 | MI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1164285672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7950 MENTOR AVE APT C4",
"city": "MENTOR",
"state": "OH",
"postal_code": "440605655",
"telephone_number": "937-367-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 MENTOR AVE APT C4",
"city": "MENTOR",
"state": "OH",
"postal_code": "440605655",
"telephone_number": "937-367-1232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADIS",
"first_name": "ANNA",
"middle_name": "NICOLE",
"credential": "LLMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4151001131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.