Theresa Lash, E.1901131-SUPV

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.1901131-SUPV Issued in OH

Practice address

919 2ND St NE
Canton, OH 44704-1132

Phone

(330) 454-7917

NPI assigned

Nov 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coleman Professional Services, Inc.

  • Mental Health Counselor
  • Kent, OH
  • NPI 1982637633
  Medicare reassignment NPD

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1790087823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3868 MOUNT PLEASANT ST NW APT G",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204802",
            "telephone_number": "330-224-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 2ND ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447041132",
            "telephone_number": "330-454-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASH",
        "first_name": "THERESA",
        "credential": "E.1901131-SUPV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1901131-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSURE",
            "identifier": "C.1000569",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry McKinstry Services LLC (mrdd service provider fpr mrdd clients)
• Alexandra Renee Larson, PT
• Bria Larsuel
• Mackrea G Larue, LISW-S
• Christopher Larussa, DO
• Katherine Anne Lasher, FNP-C
• Sehan Siraj Lashkerwala, MD
• Diana Lashley
• Dimitar Laskovski, D.O.
• Marisa Laskovski, OD

• Mental Health Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.