Theresa Lash, E1901131-SUPV in Canton, OH - Medicare Counselor Provider

Theresa Lash, E1901131-SUPV is a medicare enrolled "Counselor - Mental Health" provider in Canton, Ohio. Her current practice location is 919 2nd St Ne, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 454-7917.

Theresa Lash is licensed to practice in Ohio (license number E.1901131-SUPV) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790087823.

Contact Information

	Theresa Lash, E1901131-SUPV
	919 2nd St Ne, Canton, OH 44704-1132
	(330) 454-7917
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa Lash
Gender	Female
Speciality	Counselor - Mental Health
Location	919 2nd St Ne, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790087823
Provider Enumeration Date: 11/22/2010
Last Update Date: 04/07/2022

Medicare PECOS Information:

PECOS PAC ID: 5799124905
Enrollment ID: I20240422000863

Medical Identifiers

Medical identifiers for Theresa Lash such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790087823	NPI	-	NPPES
C.1000569	Other	OH	LPC LICENSURE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	E.1901131-SUPV (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theresa Lash allows following entities to bill medicare on her behalf.

Entity Name	Coleman Professional Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982637633 PECOS PAC ID: 2769474618 Enrollment ID: O20040331001085

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theresa Lash is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Theresa Lash, E1901131-SUPV 3868 Mount Pleasant St Nw Apt G, North Canton, OH 44720-4802 Ph: (330) 224-8899	Theresa Lash, E1901131-SUPV 919 2nd St Ne, Canton, OH 44704-1132 Ph: (330) 454-7917

Reviews and Comments

Counselor in Canton, OH

Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Brendan Rowe, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506
Zakree Buccitelli, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907

Theresa Lash, E1901131-SUPV - Medicare Counselor in Canton, OH