| Alexis Konecek, | |
|
155 N Water St, Kent, OH 44240-2418 | |
| (330) 678-3006 | |
| Not Available |
| Full Name | Alexis Konecek |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 155 N Water St, Kent, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265108252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C.2103379-TRNE (Ohio) | Primary |
| Entity Name | Lakeside Therapy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831904432 PECOS PAC ID: 4981129525 Enrollment ID: O20250416002600 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Konecek, 155 N Water St, Kent, OH 44240-2418 Ph: (330) 678-3006 | Alexis Konecek, 155 N Water St, Kent, OH 44240-2418 Ph: (330) 678-3006 |
Joan Teresse Lucci, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 E Erie St Ste 304, Kent, OH 44240 Phone: 330-835-7477 |
Nahja Chesney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 |
Mrs. Kelly Renee Tilley, MA, LPCC-S, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 Loop Rd, Kent, OH 44242 Phone: 330-672-4287 |
Marina Jean Miceli, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 |
Mrs. Rosa J Lawson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 Martinel Dr, Kent, OH 44240 Phone: 330-307-2295 |
Mr. Joseph J Ziarko, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 |
Sarah Robinson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 |