Active NPI
Lakeshore Educational and Counseling Services
- Community/Behavioral Health Agency
- Vermilion, OH
National Provider Identifier
1346402369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- E.0008336-SUPV
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.