Active NPI
Felicity Lillian Lee, LSW
- Clinical Social Worker
- Medina, OH
National Provider Identifier
1730757154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S.2005120
- Practice address
- 799 N Court St Ste 11
Medina, OH 44256-1766 - Phone
- (419) 575-1978
- NPI assigned
- Jun 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S.2005120 | Primary |
Addresses
Primary practice location
799 N Court St Ste 11
Medina, OH 44256-1766
Mailing address
3533 Sleepy Hollow Rd
Brunswick, OH 44212-4156
Phone (208) 901-0863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041C0700X | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolution Counseling and Yoga LLC | Current | Accepting new patients |
Locations
799 N Court St
Ste 11
Medina, OH 44256
Phone (330) 636-6561
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 and National Provider Directory roles.
-
- Professional Counselor
- Medina, OH
- NPI 1093361305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1730757154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 SLEEPY HOLLOW RD",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442124156",
"telephone_number": "208-901-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 N COURT ST STE 11",
"city": "MEDINA",
"state": "OH",
"postal_code": "442561766",
"telephone_number": "419-575-1978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "FELICITY",
"middle_name": "LILLIAN",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-13",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "S.2005120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1041C0700X",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.