Michelle Renee Foraker, MAED, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E0500227 Issued in OH

Practice address

1201 S Main St Ste 100
North Canton, OH 44720-4283

Phone

(330) 244-8782

Fax

(330) 244-8795

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Michelle Renee Cowley Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vista Psychological & Counseling Centre LLC

  • Clinical Psychologist
  • Canton, OH
  • NPI 1558535658
  Medicare reassignment NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1639258874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST STE 100",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204283",
            "telephone_number": "330-244-8782",
            "fax_number": "330-244-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST STE 100",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204283",
            "telephone_number": "330-244-8782",
            "fax_number": "330-244-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORAKER",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MAED, LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0500227",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0500227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "COWLEY",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "MAED, LPCC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherell A Foltz, LPTA
• Meghan E Fonce, PT
• Dionne Fontenelle, CCC-SLP
• Catherine Mary Foote
• Lindsey Foradis, FNP
• Roseanne Marie Forchione
• Jeffrey Ford
• Forever Agency, LLC
• Kimberly J Forsythe, PT
• Elizabeth L Fortner, COTA/L

• Professional Counselor in North Canton, OH
• Providers in North Canton, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.