Sharon Ann Kuczek, RN, LPC, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1500362 Issued in OH

Practice address

4300 Lynn Rd Ste 201
Ravenna, OH 44266-7838

Phone

(216) 264-0008

NPI assigned

Mar 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Ever Well Community Health

  • Community/Behavioral Health Agency
  • Ravenna, OH
  • NPI 1891305157
  NPD

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1962700765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 LEEWAY DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LYNN RD STE 201",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442667838",
            "telephone_number": "216-264-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCZEK",
        "first_name": "SHARON",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN, LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.1600034",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN207708",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1500362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph W Kravetz, RN
• Nina Krivonic
• McKala Laird Krsacok
• Beth Krul
• Laila Kubulins
• Laurie N Kuhlins
• David W. Kump, BA
• Alyssa Kuntz
• Elizabeth A Kunze
• Edward George Kurz, DDS

• Mental Health Counselor in Ravenna, OH
• Providers in Ravenna, 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 Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.