Individual provider Active NPI

Meghan Fawcett, P.C.C.

  • Professional Counselor
  • Boardman, OH
National Provider Identifier
1457503435
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
960 Boardman Canfield Rd
Boardman, OH 44512-4220
Phone
(330) 953-1977
Fax
(330) 953-2555
NPI assigned
Oct 21, 2008
Last updated
Jan 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X E.0500277 OH
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

960 Boardman Canfield Rd
Boardman, OH 44512-4220

Mailing address

6841 Paxton Rd
Boardman, OH 44512-4531
Phone (330) 509-1331

Other practice location 1

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070

Other identifiers 1

IdentifierTypeStateIssuer
0175590MedicaidOH

Other names 1

  • Meghan Fortner Former name

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
I20240112003922 OH Practitioner - Mental Health Counselor 4183075278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Behavioral Health LLCGroup PAC ID 4385000587, 6 clinicians
Aspire Mental Health LLCGroup PAC ID 7315323987, 20 clinicians

Practice addresses (Care Compare)

14837 Detroit Ave
Suite 193
Lakewood, OH 44107-3909
Phone (216) 302-4077

16761 Saint Clair Ave
Suite 2
East Liverpool, OH 43920-9400
Phone (330) 932-1823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.0500277OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Mental Health LLC CurrentSince Aug 31, 2024 Accepting new patients
Cornerstone Behavioral Health LLC CurrentSince Apr 28, 2024 Accepting new patients
Washington Wellness Institute, LLC Professional PastSince Sep 1, 2021 Accepting new patients

Locations

60 N Canfield Niles Rd
Ste 700
Austintown, OH 44515
Phone (330) 759-2520

780 E 185th St
Cleveland, OH 44119
Phone (216) 302-4077

16761 Saint Clair Ave
Ste 2
East Liverpool, OH 43920
Phone (330) 385-9670

236 W 6th St
East Liverpool, OH 43920
Phone (330) 386-7870

14837 Detroit Ave
Lakewood, OH 44107
Phone (216) 302-4077

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1457503435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841 PAXTON RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124531",
            "telephone_number": "330-509-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124220",
            "telephone_number": "330-953-1977",
            "fax_number": "330-953-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 N Meridian Rd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445091227",
            "country_code": "US",
            "telephone_number": "330-797-0070",
            "fax_number": "330-797-9148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAWCETT",
        "first_name": "MEGHAN",
        "credential": "P.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E.0500277",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175590",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "FORTNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.