Active NPI
Lauren Jeffries, LPC
- Mental Health Counselor
- Chardon, OH
National Provider Identifier
1679894240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.0800208
- Practice address
- 12557 Ravenwood Dr.
Chardon, OH 44024 - Phone
- (440) 285-3568
- NPI assigned
- Jun 18, 2010
- Last updated
- Jun 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.0800208 | OH | Primary |
Addresses
Primary practice location
12557 Ravenwood Dr.
Chardon, OH 44024
Mailing address
2554 West 10TH Street
Apt Up
Cleveland, OH 44113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.0800208 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276819200000",
"number": "1679894240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2554 WEST 10TH STREET",
"address_2": "APT UP",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12557 RAVENWOOD DR.",
"city": "CHARDON",
"state": "OH",
"postal_code": "44024",
"telephone_number": "440-285-3568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFRIES",
"first_name": "LAUREN",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-18",
"last_updated": "2010-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.0800208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.