Active NPI
Kristen L Pepera, LPCC
- Professional Counselor
- Fairview Park, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1100213
- Practice address
- 21139 Lorain Rd Ste 12
Fairview Park, OH 44126-2149 - Phone
- (330) 529-5667
- NPI assigned
- Mar 2, 2012
- Last updated
- Dec 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1100213 | OH | Primary |
Addresses
Primary practice location
21139 Lorain Rd Ste 12
Fairview Park, OH 44126-2149
Mailing address
1371 Marview Dr
Westlake, OH 44145-2339
Phone (330) 204-0457
Other practice location 1
554 N Leavitt Rd
Amherst, OH 44001-1131
Phone (440) 984-3882
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
| License | State | Type | Specialty |
|---|---|---|---|
| E.1100213 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colors Plus Counseling | Current | Accepting new patients |
Locations
21139 Lorain Rd
Ste 12
Fairview Park, OH 44126
Phone (330) 529-5667
20525 Center Ridge Rd
Ste 134
Rocky River, OH 44116
Phone (216) 200-8814
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1780156315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1255605689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1371 MARVIEW DR",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452339",
"telephone_number": "330-204-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21139 LORAIN RD STE 12",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441262149",
"telephone_number": "330-529-5667"
}
],
"practiceLocations": [
{
"address_1": "554 N Leavitt Rd",
"address_purpose": "LOCATION",
"city": "Amherst",
"state": "OH",
"postal_code": "440011131",
"country_code": "US",
"telephone_number": "440-984-3882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEPERA",
"first_name": "KRISTEN",
"middle_name": "L",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-02",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1100213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairview Park, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.