Individual provider Active NPI

Theresa Lynn Brixius, LPC

  • Professional Counselor
  • Westlake, OH
National Provider Identifier
1437624517
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E2102570 Issued in OH
Practice address
671 Columbia Rd Ste 8
Westlake, OH 44145-1477
Phone
(440) 895-0366
NPI assigned
Oct 4, 2018
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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 E2102570 OH Primary

Addresses

Primary practice location

671 Columbia Rd Ste 8
Westlake, OH 44145-1477

Mailing address

671 Columbia Rd Ste 8
Westlake, OH 44145-1477
Phone (440) 895-0366

Other identifiers 1

IdentifierTypeStateIssuer
C1801425OtherOHLPC LICENSE

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
I20240311002822 OH Practitioner - Mental Health Counselor 0345686572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arbor Sana Counseling and Wellness IncGroup PAC ID 3577667518, 4 clinicians

Practice addresses (Care Compare)

671 Columbia Rd
Suite 8
Westlake, OH 44145-1477
Phone (440) 895-0366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2102570OHMDProfessional Counselor

Organizations & group practices 1

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1437624517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 COLUMBIA RD STE 8",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451477",
            "telephone_number": "440-895-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 COLUMBIA RD STE 8",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451477",
            "telephone_number": "440-895-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIXIUS",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E2102570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "C1801425",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.