Individual provider Active NPI

Toni F Nethery, M.A.ED, LPCC

  • Mental Health Counselor
  • Fairlawn, OH
National Provider Identifier
1225566193
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E1700131 Issued in OH
Practice address
3618 W Market St Ste 11
Fairlawn, OH 44333-2425
Phone
(216) 233-5216
NPI assigned
May 23, 2017
Last updated
May 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E1700131 OH Primary

Addresses

Primary practice location

3618 W Market St Ste 11
Fairlawn, OH 44333-2425

Mailing address

414 Cary Jay Blvd
Richmond Heights, OH 44143-1728
Phone (216) 233-5216

Other names 1

  • Mrs. Antoinette F Nethery Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20240815002774 OH Practitioner - Mental Health Counselor 6507304946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1700131OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Akron General Medical Center CurrentSince May 25, 2024 Accepting new patients
Akron General Medical Center CurrentSince May 25, 2024 Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1225566193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 CARY JAY BLVD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431728",
            "telephone_number": "216-233-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 W MARKET ST STE 11",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332425",
            "telephone_number": "216-233-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETHERY",
        "first_name": "TONI",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "M.A.ED, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1700131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTOINETTE",
            "last_name": "NETHERY",
            "middle_name": "F",
            "prefix": "MRS.",
            "credential": "M.A.ED, LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.