MEDICARE: CARA ANDERSON LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	E.2606416	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306312905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA ANDERSON LPC

Provider Business Mailing Address
First Line	:	6693 N CHESTNUT ST STE 235
Second Line	:
City	:	RAVENNA
State	:	OH
Zip	:	44266-3900
Country	:	US
Telephone Number	:	330-296-3700
Fax Number	:	330-298-1460

Provider Business Practice Location Address
First Line	:	6693 N CHESTNUT ST STE 235
Second Line	:
City	:	RAVENNA
State	:	OH
Zip	:	44266-3900
Country	:	US
Telephone Number	:	330-296-3700
Fax Number	:	330-298-1460

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2018
Last Update Date	:	03/11/2026

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Directions to “ CARA ANDERSON LPC” Practice Location

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