Active NPI
Mark Alan Loomis, LPC
- Professional Counselor
- Fairlawn, OH
National Provider Identifier
1992174189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1700362
- Practice address
- 2680 W Market St
Fairlawn, OH 44333-4215 - Phone
- (234) 867-5001
- Fax
- (234) 867-5002
- NPI assigned
- Sep 18, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1700362 | OH | Primary |
Addresses
Primary practice location
2680 W Market St
Fairlawn, OH 44333-4215
Mailing address
731 Beechwood Dr
Medina, OH 44256-1603
Phone (330) 321-9470
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250613001123 | OH | Practitioner - Mental Health Counselor | 9638680077 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1700362 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DGS Ministries, LLC | Current | Accepting new patients |
Locations
2680 W Market St
Fairlawn, OH 44333
Phone (234) 867-5001
Organizations & group practices 1
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": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1992174189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 BEECHWOOD DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "442561603",
"telephone_number": "330-321-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 W MARKET ST",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443334215",
"telephone_number": "234-867-5001",
"fax_number": "234-867-5002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOMIS",
"first_name": "MARK",
"middle_name": "ALAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-18",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1700362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.