Individual provider Active NPI

Alicia Lyn Siler, COUNSELOR

  • Mental Health Counselor
  • Youngstown, OH
National Provider Identifier
1265163109
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39005907A Issued in IN
Practice address
2151 Rush Blvd
Youngstown, OH 44507-1535
Phone
(330) 741-1181
Fax
(330) 792-1848
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.2204050-TRNE OH
Mental Health Counselor 101YM0800X 39005907A IN Primary

Addresses

Primary practice location

2151 Rush Blvd
Youngstown, OH 44507-1535

Mailing address

2151 Rush Blvd
Youngstown, OH 44507-1535
Phone (330) 741-1181

Other practice location 1

915 S 11th St
Decatur, IN 46733-3406
Phone (260) 301-3155

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Alicia.Siler@gatewayrehab.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • 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
I20260327002725 IN Practitioner - Mental Health Counselor 6406331446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

105 W Cherry St
Bluffton, IN 46714-2008

6619 Brotherhood Way
Fort Wayne, IN 46825-4226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2204050-TRNEOHMDCounselor

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1265163109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 RUSH BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071535",
            "telephone_number": "330-741-1181",
            "fax_number": "330-792-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 RUSH BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071535",
            "telephone_number": "330-741-1181",
            "fax_number": "330-792-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IN",
            "postal_code": "467333406",
            "country_code": "US",
            "telephone_number": "260-301-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILER",
        "first_name": "ALICIA",
        "middle_name": "LYN",
        "credential": "COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2204050-TRNE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005907A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Alicia.Siler@gatewayrehab.org",
            "affiliation": "N",
            "endpointDescription": "end to end encryption connection",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2151 Rush Blvd",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445071535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.