Individual provider Active NPI

Angela Letzner, LPCCS-S

  • Mental Health Counselor
  • Medina, OH
National Provider Identifier
1770990954
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1300565-SUPV Issued in OH
Practice address
315 W Liberty St
Medina, OH 44256-2219
Phone
(866) 466-9591
Fax
(216) 712-6313
NPI assigned
Jul 19, 2014
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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 E.1300565-SUPV OH Primary

Addresses

Primary practice location

315 W Liberty St
Medina, OH 44256-2219

Mailing address

20525 Center Ridge Rd Ste 365
Rocky River, OH 44116-3440
Phone (866) 466-9591

Other practice location 1

3518 W 25th St
Cleveland, OH 44109-1951
Phone (216) 741-2241

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
I20240122000488 OH Practitioner - Mental Health Counselor 7911359336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Health Services of Greater ClevelandGroup PAC ID 4688723943, 9 clinicians

Practice addresses (Care Compare)

20525 Ctr Ridge Rd
Suite 403
Rocky River, OH 44116-3401
Phone (216) 456-5510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C1300565OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services of Greater Cleveland CurrentSince Jan 1, 2024 Accepting new patients

Locations

315 W Liberty St
Medina, OH 44256
Phone (866) 466-9591

20525 Center Ridge Rd
Ste 403
Rocky River, OH 44116
Phone (216) 456-5510

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": "1405728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1770990954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD STE 365",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163440",
            "telephone_number": "866-466-9591",
            "fax_number": "216-712-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562219",
            "telephone_number": "866-466-9591",
            "fax_number": "216-712-6313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3518 W 25th St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441091951",
            "country_code": "US",
            "telephone_number": "216-741-2241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETZNER",
        "first_name": "ANGELA",
        "credential": "LPCCS-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-19",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1300565-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.