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Active NPI 1053712257 Individual Practitioner Female Practitioner

Evyn Lewis , LPCC-S, LICDC

Counselor - Professional • Mentor, OH

Professional Overview & Biography Verified Profile Summary

Evyn Lewis, LPCC-S, LICDC is a registered healthcare professional specializing in Counselor - Professional in Mentor, OH. Practice services are available at 7232 JUSTIN WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7232 Justin Way

Mentor, OH 440604881

Telephone 4405788200
Associated Practice Facility / Clinic
🏢 Signature Health Inc. Facility NPI 1184170136

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Mentor, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
56 Specialists

Practicing in Mentor, OH (6923 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-14
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License OH C.1902299

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH LICDC.161767

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License MI 6401015075

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0381508 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Tiffany Jones , MD

Psychiatry & Neurology - Psychiatry

NPI 1003082413

Doctor of Medicine (M.D.)

Ashley Focht

Counselor

NPI 1003329079
Fatimaah Fullilove , LSW, LICDC

Social Worker - Clinical

NPI 1003329228

Licensed Social Worker, LICDC

NPI 1003420076

Licensed Professional Clinical Counselor

NPI 1003420738
Clotilda Raymond

Social Worker

NPI 1003436825

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
👤
Provider Name / Credentials Updated July 14, 2025

Recorded as EVYN LEWIS, LPCC-S, LICDC

📍
Updated Practice Location March 30, 2021

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

📍
Updated Business Mailing Address March 30, 2021

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2021

Counselor (License #C.1902299 in OH)

📍
Updated Practice Location June 19, 2020

Registered at 9600 OLD STATE RD, CHARDON, OH 440249260 (Tel: 4402530453)

📍
Updated Business Mailing Address June 19, 2020

Registered at 697 WOOD RIDGE RD, GENEVA, OH 440418268 (Tel: 2692754534)

👤
Provider Name / Credentials Updated June 19, 2020

Recorded as EVYN KARLOSKY, LPC, LICDC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2020

Counselor (License #LICDC.161767 in OH)

NPI Profile Active January 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2017

Registered at 3300 LANSING AVE, JACKSON, MI 492021621 (Tel: 5177842929)

📍
Updated Business Mailing Address January 31, 2017

Registered at 3300 LANSING AVE, JACKSON, MI 492021621 (Tel: 5177842929)

👤
Provider Name / Credentials Updated January 31, 2017

Recorded as EVYN KARLOSKY, T.L.L.P., L.L.P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2017

Counselor (License #6401015075 in MI)

NPI Profile Active December 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2015

Registered at 3300 LANSING AVE, JACKSON, MI 492021621 (Tel: 5177842929)

📍
Updated Business Mailing Address December 08, 2015

Registered at 3300 LANSING AVE, JACKSON, MI 492021621 (Tel: 5177842929)

👤
Provider Name / Credentials Updated December 08, 2015

Recorded as EVYN LEWIS, T.L.L.P., L.L.P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2015

Counselor (License #6401015075 in MI)

🟢
Initial NPI Registration & Enumeration September 08, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1053712257
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2014
Last Update: July 14, 2025
Sole Proprietor: Yes

Mailing Address

7232 Justin Way

Mentor, OH 440604881

Phone: 4405788200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.