Organization Active NPI

Lakeshore Educational and Counseling Services

  • Community/Behavioral Health Agency
  • Vermilion, OH
National Provider Identifier
1346402369
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
E.0008336-SUPV Issued in OH
Legal business name
LAKESHORE EDUCATIONAL AND COUNSELING SERVICES
Practice address
5475 Liberty Ave
Vermilion, OH 44089-1333
Phone
(440) 963-0402
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Angela F Dover, LPCC-S
Title
Child and Family Therapist
Phone
(513) 253-5137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X E.0008336-SUPV OH Primary

Addresses

Primary practice location

5475 Liberty Ave
Vermilion, OH 44089-1333

Mailing address

3212 Bach Ave Apt 4
Cincinnati, OH 45209-1756
Phone (513) 253-5137

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1346402369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 BACH AVE APT 4",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091756",
            "telephone_number": "513-253-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 LIBERTY AVE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891333",
            "telephone_number": "440-963-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE EDUCATIONAL AND COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "DOVER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHILD AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "513-253-5137",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "E.0008336-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.