Individual provider Active NPI

Alexis Enright, IMFT

  • Marriage & Family Therapist
  • Fairlawn, OH
National Provider Identifier
1215594411
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F.1900091 Issued in OH
Practice address
843 N Cleveland Massillon Rd Ste 6
Fairlawn, OH 44333-2184
Phone
(330) 723-7977
Fax
(330) 725-5177
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X F.1900091 OH Primary

Addresses

Primary practice location

843 N Cleveland Massillon Rd Ste 6
Fairlawn, OH 44333-2184

Mailing address

PO Box 94
Ottawa, IL 61350-0094

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address confidential@avenuesofcounseling.com Direct Avenues of Counseling and Mediation

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
F.1900091OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Borchert Dba Avenues of Counseling Past Accepting new patients
Avenues of Counseling and Mediation PastSince Jan 26, 2011 Accepting new patients

Organizations & group practices 2

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1215594411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613500094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 N CLEVELAND MASSILLON RD STE 6",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332184",
            "telephone_number": "330-723-7977",
            "fax_number": "330-725-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIGHT",
        "first_name": "ALEXIS",
        "credential": "IMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.1900091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "confidential@avenuesofcounseling.com",
            "affiliation": "Y",
            "endpointDescription": "Confidential E-mail",
            "affiliationName": "Avenues of Counseling and Mediation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "230 S Court St",
            "address_2": "Suite 5",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442562259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.