Individual provider Active NPI

Anjelica Miele Nelson, LPC MFT

  • Professional Counselor
  • Medina, OH
National Provider Identifier
1356899165
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
230 S Court St
Medina, OH 44256-2275
Phone
(330) 723-7977
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

230 S Court St
Medina, OH 44256-2275

Mailing address

3360 Barrett Rd
Akron, OH 44333-1802
Phone (440) 382-0224

Other practice location 1

18 N Forge St
Akron, OH 44304-1317
Phone (330) 762-0591

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
I20240105002852 OH Practitioner - Mental Health Counselor 2062863897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22255 Ctr Ridge Rd
Suite 300
Rocky River, OH 44116-3964
Phone (216) 563-1661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Pathways Cleveland, LLC CurrentSince Jan 1, 2024 Accepting new patients
Child Guidance & Family Solutions PastSince May 11, 2025 Accepting new patients
Avenues of Counseling and Mediation Past Accepting new patients

Locations

30701 Lorain Rd
Ste A
North Olmsted, OH 44070

22255 Center Ridge Rd
Ste 200
Rocky River, OH 44116
Phone (216) 563-1661

22255 Center Ridge Rd
Ste 300
Rocky River, OH 44116
Phone (216) 563-1661

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356899165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 BARRETT RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443331802",
            "telephone_number": "440-382-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S COURT ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562275",
            "telephone_number": "330-723-7977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 N Forge St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041317",
            "country_code": "US",
            "telephone_number": "330-762-0591",
            "fax_number": "330-762-2242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ANJELICA",
        "middle_name": "MIELE",
        "credential": "LPC MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.