Individual provider Active NPI

Tasha Ford, LISW

  • Professional Counselor
  • Lorain, OH
National Provider Identifier
1982030219
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
I.0700004 Issued in OH
Practice address
2173 N Ridge Rd E
Lorain, OH 44055
Phone
(440) 260-8300
NPI assigned
Sep 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0700004 OH
Professional Counselor 101YP2500X I.0700004 OH Primary

Addresses

Primary practice location

2173 N Ridge Rd E
Lorain, OH 44055

Mailing address

434 Eastland Rd
Berea, OH 44017-1217
Phone (440) 234-2006

Other practice location 1

2173 N Ridge Rd E
Lorain, OH 44055
Phone (440) 260-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200107000452 OH Practitioner - Clinical Social Worker 0143654756 Reassigns benefits to 2 organizations
I20250604003698 MI Practitioner - Clinical Social Worker 0143654756 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0700004OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ohioguidestone CurrentSince Dec 1, 2019 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Aug 1, 2023 Accepting new patients
Ohioguidestone CurrentSince Dec 1, 2019 Accepting new patients
Murtis Taylor Human Services System Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327

434 Eastland Rd
Berea, OH 44017
Phone (440) 260-8327

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

2173 N Ridge Rd E
Ste E
Lorain, OH 44055
Phone (440) 260-6100

Interoperability endpoints

  • Direct secure messaging: ethoscareinc.tashaford@151221.advancedmd-direct.com

Organizations & group practices 5

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": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1982030219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 EASTLAND RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171217",
            "telephone_number": "440-234-2006",
            "fax_number": "216-283-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 N RIDGE RD E",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44055",
            "telephone_number": "440-260-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2173 N Ridge Rd E",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "44055",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "TASHA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0700004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "I.0700004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.