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KEVIN FASIG LPCC-S, LICDC
NPI 1245588375
Counselor - Professional in Medina, OH

Active since August 21, 2012
246 NORTHLAND DR STE 200A, MEDINA, OH 44256(330) 725-9195(330) 725-9187 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2020, Feb 6, 2020 (2 updates tracked since 2020).

About Kevin Fasig Lpcc-s, Licdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN FASIG LPCC-S, LICDC (NPI 1245588375) is an individual professional provider in Medina, Ohio, licensed in Ohio (E.1300003-SUPV) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1245588375
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKEVIN FASIGCredential: LPCC-S, LICDC
Location Address246 NORTHLAND DR STE 200AMedina, OH 44256-3440
Mailing Address246 Northland Dr Ste 200aMedina, OH 44256-3440 · (330) 725-9195 · Fax (330) 725-9187
Phone(330) 725-9195
Fax(330) 725-9187
Sole ProprietorNo
Enumeration DateAugust 21, 2012
Last NPPES UpdateMarch 26, 20202 updates tracked since enumeration
NPPES CertifiedMarch 26, 2020
✔ NPI 1245588375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in OH · E.1300003-SUPV✔ Licensed in OH · LE-00019042
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.161660 (OH)
246 NORTHLAND DR STE 200A, Medina, OH 44256
Open in Google Maps ↗

Other Identifiers 1

Medicaid0181362OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY HERRICK
Case Manager/Care Coordinator
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
SAVANAH BORCUCH LSW
Social Worker
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
MELINDA ANNE SILLIMAN QMHS
Behavior Analyst
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
MR. PHILIP BRADLEY LONDRICO CDCA
Counselor (Addiction (Substance Use Disorder))
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
LOIS WILLIAMS HART MSN,CNS
Registered Nurse (Psychiatric/Mental Health)
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
JASMINE MYERS
Social Worker
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
SHATAYLA CASONDA WATKINS QMHS
Behavior Analyst
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
MRS. JEANETTE INEZ PYCRAFT LISW
Social Worker (Clinical)
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Fasig's NPI number?

The NPI number for Kevin Fasig is 1245588375. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Where is Kevin Fasig located?

Kevin Fasig practices at 246 Northland Dr Ste 200A, Medina, OH 44256. The listed phone number is (330) 725-9195.

What is Kevin Fasig's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kevin Fasig was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.