Individual provider Active NPI

Lauren Teresa Robinson, PCC

  • Counselor
  • Norwalk, OH
National Provider Identifier
1619207917
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.0700908-SUPV Issued in OH
Practice address
292 Benedict Ave
Norwalk, OH 44857-2374
Phone
(419) 663-3737
Fax
(419) 663-5096
NPI assigned
Jan 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.0700908-SUPV OH Primary

Addresses

Primary practice location

292 Benedict Ave
Norwalk, OH 44857-2374

Mailing address

1925 Hayes Ave
Sandusky, OH 44870-4737
Phone (419) 557-5177

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
I20240120000098 OH Practitioner - Mental Health Counselor 9537511035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.0700908-SUPVOHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Firelands Regional Medical Center Current Accepting new patients

Locations

292 Benedict Ave
Norwalk, OH 44857
Phone (419) 663-3737

1925 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-5177

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1619207917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704737",
            "telephone_number": "419-557-5177",
            "fax_number": "419-557-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572374",
            "telephone_number": "419-663-3737",
            "fax_number": "419-663-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "LAUREN",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0700908-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

Verify at the official NPI Registry.