Individual provider Active NPI

Cynthia Lemke, PCC

  • Counselor
  • Ashtabula, OH
National Provider Identifier
1194812859
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E4254 Issued in OH
Practice address
2801 C CT
Ashtabula, OH 44004-4577
Phone
(440) 998-4210
Fax
(440) 998-6489
NPI assigned
Oct 6, 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
Counselor 101Y00000X E4254 OH Primary

Addresses

Primary practice location

2801 C CT
Ashtabula, OH 44004-4577

Mailing address

2801 C CT
Ashtabula, OH 44004-4577
Phone (440) 998-4210

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
I20240213003817 OH Practitioner - Mental Health Counselor 2365886751

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1976
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2801 C CT
Ashtabula, OH 44004-4577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4254OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Center of Ashtabula County CurrentSince Jan 1, 2024 Accepting new patients

Locations

2801 C Ct
Ashtabula, OH 44004
Phone (440) 998-0722

Organizations & group practices 1

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194812859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 C CT",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044577",
            "telephone_number": "440-998-4210",
            "fax_number": "440-998-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 C CT",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044577",
            "telephone_number": "440-998-4210",
            "fax_number": "440-998-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMKE",
        "first_name": "CYNTHIA",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E4254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

Verify at the official NPI Registry.