Active NPI
Alicia Lyn Siler, COUNSELOR
- Mental Health Counselor
- Youngstown, OH
National Provider Identifier
1265163109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39005907A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| C.2204050-TRNE | OH | MD | Counselor |
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.
-
- Mental Health Counselor
- Bluffton, IN
- NPI 1689135279
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.