NPIMap

Organization Active NPI

Anchor Counseling Services, LLC

  • Mental Health Counselor
  • Mentor, OH
National Provider Identifier
1245614965
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E1200186 Issued in OH
Legal business name
ANCHOR COUNSELING SERVICES, LLC
Practice address
8500 Station St Ste 101
Mentor, OH 44060-4963
Phone
(440) 792-5081
NPI assigned
Jul 13, 2015
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Janet Fetzer, LPCC-SNPI 1710399910
Title
Owner
Phone
(440) 742-4656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X E0900249 OH
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X E1200186 OH Primary

Addresses

Primary practice location

8500 Station St Ste 101
Mentor, OH 44060-4963

Mailing address

8500 Station St Ste 101
Mentor, OH 44060-4963
Phone (440) 792-5081

Other practice location 1

221 E 320th St
Willowick, OH 44095-3539
Phone (440) 943-0151 ext. 307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241210003246 OH Part B Supplier - Clinic/Group Practice 9234665522 Receives reassigned benefits from 2 practitioners
Practice locations: Mentor, OH

National Provider Directory

National Provider Directory

Locations

8500 Station St
Ste 101
Mentor, OH 44060
Phone 4407424656 ext. 482

221 E 320th St
Willowick, OH 44095
Phone (440) 742-4656

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1245614965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 STATION ST STE 101",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604963",
            "telephone_number": "440-792-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 STATION ST STE 101",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604963",
            "telephone_number": "440-792-5081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 E 320th St",
            "address_purpose": "LOCATION",
            "city": "Willowick",
            "state": "OH",
            "postal_code": "440953539",
            "country_code": "US",
            "telephone_number": "440-943-0151 x307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANCHOR COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "FETZER",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-742-4656",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0900249",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1200186",
            "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 Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.