Thomas Lennon, LPC | |
3737 Lander Rd, Pepper Pike, OH 44124 | |
(216) 831-2255 | |
Not Available |
Full Name | Thomas Lennon |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 3737 Lander Rd, Pepper Pike, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215343850 | NPI | - | NPPES |
2871101 | Medicaid | OH | |
1215343850 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 100094 (Ohio) | Secondary |
101YP2500X | Counselor - Professional | E1800641 (Ohio) | Primary |
Entity Name | Family & Community Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750607057 PECOS PAC ID: 1557495223 Enrollment ID: O20100817000529 |
Entity Name | Axesspointe Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548214935 PECOS PAC ID: 5395705545 Enrollment ID: O20170131000781 |
Mailing Address | Practice Location Address |
---|---|
Thomas Lennon, LPC 2980 Belmont Ave, Youngstown, OH 44505-1834 Ph: (330) 759-0276 | Thomas Lennon, LPC 3737 Lander Rd, Pepper Pike, OH 44124 Ph: (216) 831-2255 |
Joseph Tadiello, LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 30800 Chagrin Blvd, Pepper Pike, OH 44124 Phone: 216-591-0324 Fax: 216-591-1243 | |
David E Hart, LPCC-SUPV Counselor Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Tracy M Broa-turner, LPCC-SUPV Counselor Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Road, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Julie Louise Abrams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 | |
Michelle M Harris, LPCC-SUPV Counselor Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Dawn A Jackson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Tara A Lemasters, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31100 Pinetree Rd Ste 204, Pepper Pike, OH 44124 Phone: 561-601-0166 |