Individual provider Active NPI

Karlee P Fenstermaker, LPC

  • Professional Counselor
  • Warren, OH
National Provider Identifier
1295316495
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2204109 Issued in OH
Practice address
4102 Greenmont Dr SE
Warren, OH 44484-2614
Phone
(330) 718-1061
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OH
Professional Counselor 101YP2500X C.2204109 OH Primary

Addresses

Primary practice location

4102 Greenmont Dr SE
Warren, OH 44484-2614

Mailing address

4102 Greenmont Dr SE
Warren, OH 44484-2614
Phone (330) 718-1061

Other names 1

  • Karlee P Briceland Former name

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
I20241119004034 OH Practitioner - Mental Health Counselor 1557896164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2204109OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio North East Health Systems, Inc. CurrentSince Oct 3, 2024 Accepting new patients
Ohio North East Health Systems Inc CurrentSince Oct 3, 2024 Accepting new patients
Meridian Healthcare PastSince Apr 1, 2021 Accepting new patients

Locations

175 E Broad St
Newton Falls, OH 44444
Phone (330) 747-9551

726 Wick Ave
Youngstown, OH 44505
Phone (330) 747-2330

Interoperability endpoints

  • Direct secure messaging: karlee.fenstermaker.p1@direct.oho.nextgenshare.com

Organizations & group practices 3

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1295316495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 GREENMONT DR SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842614",
            "telephone_number": "330-718-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 GREENMONT DR SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842614",
            "telephone_number": "330-718-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENSTERMAKER",
        "first_name": "KARLEE",
        "middle_name": "P",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2204109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLEE",
            "last_name": "BRICELAND",
            "middle_name": "P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.