Nancy Ann Klein, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0003976 Issued in OH

Practice address

25111 Country Club Blvd.
Ste 290
North Olmsted, OH 44070-5330

Phone

(216) 831-6611

Fax

(440) 614-2526

NPI assigned

Oct 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Psychological & Behavioral Consultants, LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1245483692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25111 COUNTRY CLUB BLVD.",
            "address_2": "STE. 290",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705330",
            "telephone_number": "216-831-6611",
            "fax_number": "440-614-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25111 COUNTRY CLUB BLVD.",
            "address_2": "STE 290",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705330",
            "telephone_number": "216-831-6611",
            "fax_number": "440-614-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0003976",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0003976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amneh Khaleq
• Omnia Kholief, DDS
• Julia Kathryn Kilroy, PA-C
• Dug Soo Kim, DMD
• Elizabeth Kitchen, M.S., R.D., L.D.
• Gregory Donald Klyczek, D.C.
• Ellen Knotek, M.A. CCC-SLP
• Koalaty Home Care
• Yvette G Kolta
• Brittany Kopena, APRN, PMHNP

• Mental Health Counselor in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.