DR. TANIA LODGE PHD, PCC-S
NPI 1437315520
Psychologist - Clinical in Fairlawn, OH

Q: What is Tania Lodge's NPI number?

The NPI number for Tania Lodge is 1437315520. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Q: What is Tania Lodge's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Tania Lodge was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 29, 2008PECOS Enrolled

3618 W MARKET ST STE 15, FAIRLAWN, OH 44333(234) 466-0445(234) 466-0359 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2024, Sep 16, 2022 (2 updates tracked since 2022).

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About Dr. Tania Lodge Phd, Pcc-s NPPES

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

DR. TANIA LODGE PHD, PCC-S (NPI 1437315520) is an individual clinical provider in Fairlawn, Ohio, licensed in Ohio (P.08616) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Canton, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1437315520

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TANIA LODGECredential: PHD, PCC-S

Location Address3618 W MARKET ST STE 15Fairlawn, OH 44333-2425

Mailing Address3618 W Market St Ste 16Fairlawn, OH 44333-2425 · (234) 466-0445

Phone(234) 466-0445

Fax(234) 466-0359

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 29, 2008

Last NPPES UpdateApril 16, 20242 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1437315520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OH · P.08616

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License E.0500437 (OH)

3618 W MARKET ST STE 15, Fairlawn, OH 44333

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Secondary Practice Location 1

Location 16370 Wise Ave NWNorth Canton, OH 44720-7350 · Phone (330) 493-0083 ext. 3664

Other Identifiers 1

Medicaid0214582OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tania Lodge Phd, Pcc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335633783

PECOS Enrollment IDI20251212000621

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tania Lodge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kindred Spirit Behavioral Health

Same address

Community/Behavioral Health

3618 W MARKET ST STE E15
Fairlawn, OH 44333

Reassigned Medicare billing, Ohio enrollment

NPI 1093475899 (330) 271-6160

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44333 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DANA BURTON

Case Manager/Care Coordinator