Organization Active NPI

Lotus Heart LLC

  • Mental Health Counselor
  • Westlake, OH
National Provider Identifier
1942696083
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IO80073 Issued in OH
Legal business name
LOTUS HEART LLC
Practice address
24500 Center Ridge Rd
Westlake, OH 44145-5601
Phone
(216) 533-4966
NPI assigned
Apr 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Ms. Marissa Lee Ferrer, LISWNPI 1588686984
Title
Member
Phone
(216) 533-4966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X IO80073 OH Primary

Addresses

Primary practice location

24500 Center Ridge Rd
Westlake, OH 44145-5601

Mailing address

26719 Bruce Rd
Bay Village, OH 44140-2206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151210000229 OH Part B Supplier - Clinic/Group Practice 1254632540 Receives reassigned benefits from 2 practitioners
Practice locations: Rocky River, OH

National Provider Directory

National Provider Directory

Locations

20006 Detroit Rd
Ste 301
Rocky River, OH 44116
Phone (216) 512-3052

24500 Center Ridge Rd
Westlake, OH 44145
Phone (216) 533-4966

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1942696083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26719 BRUCE RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24500 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455601",
            "telephone_number": "216-533-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "FERRER",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "216-533-4966",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "IO80073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.