Organization Active NPI

Lesure and Associates

  • Psychologist
  • Fairview Park, OH
National Provider Identifier
1689002669
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3456 Issued in OH
Legal business name
LESURE AND ASSOCIATES
Practice address
4475 Valley Forge Dr
Fairview Park, OH 44126-2826
Phone
(330) 418-7887
Fax
(330) 776-5557
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Suzanne Lesure, PHDNPI 1689631277
Title
Owner
Phone
(330) 418-7887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 3456 OH Primary

Addresses

Primary practice location

4475 Valley Forge Dr
Fairview Park, OH 44126-2826

Mailing address

4475 Valley Forge Dr
Fairview Park, OH 44126-2826
Phone (330) 418-7887

Other identifiers 1

IdentifierTypeStateIssuer
607329MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240626002140 OH Part B Supplier - Clinic/Group Practice 1658326897 Receives reassigned benefits from 1 practitioner
Practice locations: Fairview Park, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1689002669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 VALLEY FORGE DR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262826",
            "telephone_number": "330-418-7887",
            "fax_number": "330-776-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 VALLEY FORGE DR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262826",
            "telephone_number": "330-418-7887",
            "fax_number": "330-776-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESURE AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "LESURE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-418-7887",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "3456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "607329",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.