Individual provider Active NPI

Anita Dacanay

  • Mental Health Counselor
  • Sheffield Village, OH
National Provider Identifier
1689342701
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2103321 Issued in OH
Practice address
5338 Meadow Lane CT
Sheffield Village, OH 44035-1469
Phone
(216) 282-3838
NPI assigned
Sep 2, 2021
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2103321 OH Primary

Addresses

Primary practice location

5338 Meadow Lane CT
Sheffield Village, OH 44035-1469

Mailing address

5338 Meadow Lane CT
Sheffield Village, OH 44035-1469
Phone (216) 282-3838

Other identifiers 1

IdentifierTypeStateIssuer
C.2103321OtherOHLPC

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
I20250114001296 OH Practitioner - Mental Health Counselor 3072041300 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2103321OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Well Cleveland, LLC Mental Health CurrentSince Jan 6, 2025 Accepting new patients

Locations

3000 Bridge Ave
Ste 4
Cleveland, OH 44113
Phone (216) 282-3838

1662 Mars Ave
Lakewood, OH 44107
Phone (216) 282-3838

1662 Mars Ave
Ste 103
Lakewood, OH 44107
Phone (216) 282-3838

5338 Meadow Lane Ct
Sheffield Village, OH 44035
Phone (216) 282-3838

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, 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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1689342701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5338 MEADOW LANE CT",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351469",
            "telephone_number": "216-282-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5338 MEADOW LANE CT",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351469",
            "telephone_number": "216-282-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACANAY",
        "first_name": "ANITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2103321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "C.2103321",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield Village, OH

Sources for this page

Verify at the official NPI Registry.