Active NPI
Karlee P Fenstermaker, LPC
- Professional Counselor
- Warren, OH
National Provider Identifier
1295316495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2204109
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2204109 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio North East Health Systems, Inc. | Current | Accepting new patients | |
| Ohio North East Health Systems Inc | Current | Accepting new patients | |
| Meridian Healthcare | Past | 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
- 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.
-
- Community Health Clinic/Center
- Youngstown, OH
- NPI 1700917267
-
- Federally Qualified Health Center (FQHC)
- Youngstown, OH
- NPI 1699236059
-
- Federally Qualified Health Center (FQHC)
- Youngstown, OH
- NPI 1841164365
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.