Lakeside Therapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LAKESIDE THERAPY

Practice address

795 Sharon Dr Ste 206
Westlake, OH 44145-1542

Phone

(440) 470-0187

NPI assigned

Feb 11, 2025

Organization subpart

No

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

Authorized official

Name

Kristy HoltNPI 1932731353

Title

Owner

Phone

(207) 749-8606

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristy Holt

  • Counselor
  • Brookpark, OH
  • NPI 1932731353
  Medicare reassignment NPD Authorized official
• Alexis Konecek

  • Mental Health Counselor
  • Kent, OH
  • NPI 1265108252
  Medicare reassignment NPD
• Ajalaa Fontaine Powers, LPCC

  • Professional Counselor
  • Westlake, OH
  • NPI 1457816621
  NPD (past)

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1831904432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 SHARON DR STE 206",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451542",
            "telephone_number": "440-470-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 SHARON DR STE 206",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451542",
            "telephone_number": "440-470-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-749-8606"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golnaz Lahsaee, MD
• Lake Family Chiropractic LLC
• Lake Point Medical Group,LLC
• Lakefront Psychology
• Lakeshore Speech Therapy, LLC
• Lakewood Anesthesia Associates, Inc.
• Lakewood Hospital Professional Services
• Jessica Marie Lally, CNP
• Melissa Lalonde, LISW-S
• Louis B. Lamarca, LSW

• Professional Counselor in Westlake, OH
• Providers in Westlake, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.