Healthcare Provider Details

I. General information

NPI: 1881045086
Provider Name (Legal Business Name): FARIHA ANIKA LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4075 OLD WESTERN ROW RD
MASON OH
45040-3104
US

IV. Provider business mailing address

8489 BEECH AVE APT C7
CINCINNATI OH
45236-1997
US

V. Phone/Fax

Practice location:
  • Phone: 513-536-4673
  • Fax:
Mailing address:
  • Phone: 419-787-7770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2302897
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.1700692-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: