Organization Active NPI

Lakeshore Educational & Counseling Services

  • Professional Counselor
  • Independence, OH
National Provider Identifier
1720108681
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E4315 Issued in OH
Legal business name
LAKESHORE EDUCATIONAL & COUNSELING SERVICES
Practice address
7007 E Sprague Rd Ste 1
Independence, OH 44131-6569
Phone
(800) 600-5327
Fax
(440) 963-4018
NPI assigned
Apr 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Ms. Judi Lynn Fischer, LPCC
Title
Owner
Phone
(440) 963-0402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X E4315 OH Primary

Addresses

Primary practice location

7007 E Sprague Rd Ste 1
Independence, OH 44131-6569

Mailing address

5475 Liberty Ave
Vermilion, OH 44089-1333
Phone (800) 600-5327

National Provider Directory

National Provider Directory

Locations

7007 E Sprague Rd
Ste 1
Independence, OH 44131
Phone (800) 600-5327

NPI Registry JSON

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

{
    "created_epoch": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1720108681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 LIBERTY AVE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891333",
            "telephone_number": "800-600-5327",
            "fax_number": "440-963-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 E SPRAGUE RD STE 1",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316569",
            "telephone_number": "800-600-5327",
            "fax_number": "440-963-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE EDUCATIONAL & COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-01",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "JUDI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-963-0402",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E4315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.