Individual provider Active NPI

Lindsey Fusillo, LPCC

  • Mental Health Counselor
  • Medina, OH
National Provider Identifier
1356712897
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1000219 Issued in OH
Practice address
4018 Medina Rd Ste D
Medina, OH 44256-9675
Phone
(330) 722-4166
NPI assigned
Oct 9, 2015
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.1000219 OH Primary

Addresses

Primary practice location

4018 Medina Rd Ste D
Medina, OH 44256-9675

Mailing address

4018 Medina Rd Ste D
Medina, OH 44256-9675
Phone (330) 722-4166

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
I20240213002171 OH Practitioner - Mental Health Counselor 3779926134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Counseling Services, LLCGroup PAC ID 7214380724, 12 clinicians

Practice addresses (Care Compare)

3575 Forest Lake Dr
Suite 100
Uniontown, OH 44685-8115
Phone (330) 703-0105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1000219OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Psychological & Counseling Services of Northeast Ohio CurrentSince Jan 1, 2024 Accepting new patients
Compass Counseling Services, LLC CurrentSince Sep 1, 2024 Accepting new patients
Family Statcare of Northeast Ohio, LLC Past Accepting new patients

Locations

3575 Forest Lake Dr
Ste 100
Green, OH 44685
Phone (330) 703-0105

4018 Medina Rd
Ste D
Medina, OH 44256
Phone (330) 506-1408

195 Wadsworth Rd
Ste 201B
Wadsworth, OH 44281
Phone (330) 336-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1356712897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 MEDINA RD STE D",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569675",
            "telephone_number": "330-722-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 MEDINA RD STE D",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569675",
            "telephone_number": "330-722-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSILLO",
        "first_name": "LINDSEY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1000219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.