Individual provider Active NPI

Lisa Kay Fender-Scarr

  • Psychologist
  • Independence, OH
National Provider Identifier
1891805529
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
E3480 Issued in OH
Practice address
6133 Rockside Rd
#207 Rockside Square 2
Independence, OH 44131
Phone
(216) 520-5969
Fax
(216) 520-5098
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X E3480 OH Primary

Addresses

Primary practice location

6133 Rockside Rd
#207 Rockside Square 2
Independence, OH 44131

Mailing address

6133 Rockside Rd
#207 Rockside Square 2
Independence, OH 44131
Phone (216) 520-5969

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
I20240509000234 OH Practitioner - Mental Health Counselor 5799126660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Avenues of Counseling and MediationGroup PAC ID 6406931880, 27 clinicians

Practice addresses (Care Compare)

843 N Cleveland-Massillon Rd
Suite 6
Fairlawn, OH 44333-9303
Phone (330) 723-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3480OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues of Counseling and Mediation CurrentSince Apr 19, 2024 Accepting new patients
Lisa Borchert Dba Avenues of Counseling Past Accepting new patients

Locations

843 N Cleveland Massillon Rd
Ste 9
Fairlawn, OH 44333

843 N Cleveland Massillon Rd
Ste 6
Fairlawn, OH 44333
Phone (330) 723-7977

230 S Court St
Ste 5
Medina, OH 44256
Phone (330) 723-7977

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891805529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 ROCKSIDE RD",
            "address_2": "#207 ROCKSIDE SQUARE 2",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "44131",
            "telephone_number": "216-520-5969",
            "fax_number": "216-520-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 ROCKSIDE RD",
            "address_2": "#207 ROCKSIDE SQUARE 2",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "44131",
            "telephone_number": "216-520-5969",
            "fax_number": "216-520-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENDER-SCARR",
        "first_name": "LISA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "E3480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.