Individual provider Active NPI

Lindsey Conway

  • Counselor
  • Cleveland, OH
National Provider Identifier
1619465556
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.1901634 Issued in OH
Practice address
10427 Detroit Ave
Cleveland, OH 44102
Phone
(216) 487-2312
Fax
(216) 521-6006
NPI assigned
Apr 26, 2018
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.1901634 OH Primary

Addresses

Primary practice location

10427 Detroit Ave
Cleveland, OH 44102

Mailing address

10427 Detroit Ave
Cleveland, OH 44102-1645
Phone (214) 487-2312

Other practice location 1

580 Grant St
Akron, OH 44311-9910
Phone (330) 376-9494 ext. 220

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
I20260212001963 OH Practitioner - Mental Health Counselor 7618457300 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
Kelly Reeves Memorial FoundationGroup PAC ID 2961885314, 6 clinicians

Practice addresses (Care Compare)

2275 State Route 59
Kent, OH 44240-7143
Phone (330) 593-5959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1901634OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Reeves Memorial Foundation CurrentSince Jan 5, 2026 Accepting new patients
Azalea Institute-Center for MFT & LPC Advancement, LLC Counselor Past Accepting new patients

Locations

2275 State Route 59
Kent, OH 44240
Phone (330) 593-5959

Organizations & group practices 2

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1619465556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10427 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441021645",
            "telephone_number": "214-487-2312",
            "fax_number": "216-521-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10427 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44102",
            "telephone_number": "216-487-2312",
            "fax_number": "216-521-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 Grant St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443119910",
            "country_code": "US",
            "telephone_number": "330-376-9494 x220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1901634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.