Individual provider Active NPI

Monica Ross Reider, EDD,LPCC-S,NCC,CRC

  • Professional Counselor
  • Medina, OH
National Provider Identifier
1275622102
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C0500564 Issued in OH
Practice address
230 S Court St Ste 5
Medina, OH 44256-2259
Phone
(330) 723-7977
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C0500564 OH Primary

Addresses

Primary practice location

230 S Court St Ste 5
Medina, OH 44256-2259

Mailing address

230 S Court St Ste 5
Medina, OH 44256-2259
Phone (330) 723-7977

Other identifiers 3

IdentifierTypeStateIssuer
00015066OtherILCERTIFIED REHABILITATION COUNSELOR
0500564-SUPVOtherOHLICENSED PROFESSIONAL CLINICAL COUNSELOR -SUPERVISING COUNSELOR
258350OtherNCNATIONAL CERTIFIED COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240930003342 OH Practitioner - Mental Health Counselor 2466983549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Avenues of Counseling and MediationGroup PAC ID 6406931880, 27 clinicians

Practice addresses (Care Compare)

843 N Cleveland-Massillon Rd
Suite 6
Fairlawn, OH 44333-9303
Phone (330) 723-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0500564OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues of Counseling and Mediation CurrentSince Aug 20, 2024 Accepting new patients
Lisa Borchert Dba Avenues of Counseling Past Accepting new patients

Locations

843 N Cleveland Massillon Rd
Ste 6
Fairlawn, OH 44333
Phone (330) 723-7977

843 N Cleveland Massillon Rd
Ste 9
Fairlawn, OH 44333

230 S Court St
Ste 5
Medina, OH 44256
Phone (330) 723-7977

Organizations & group practices 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1275622102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S COURT ST STE 5",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562259",
            "telephone_number": "330-723-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S COURT ST STE 5",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562259",
            "telephone_number": "330-723-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDER",
        "first_name": "MONICA",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "EDD,LPCC-S,NCC,CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0500564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED REHABILITATION COUNSELOR",
            "identifier": "00015066",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL CLINICAL COUNSELOR -SUPERVISING COUNSELOR",
            "identifier": "0500564-SUPV",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFIED COUNSELOR",
            "identifier": "258350",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.