PHYLLIS ANN VAIR (M.ED., LPC) – Counselor, NPI 1073031373

PHYLLIS ANN VAIR (M.ED., LPC) is a healthcare provider. based in Ravenna, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.ED., LPC. They hold a License No. C.1500573 (OH). The NPI Number for PHYLLIS ANN VAIR (M.ED., LPC) is 1073031373

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
PHYLLIS ANN VAIR (M.ED., LPC)
NPI
1073031373
Phone
(330) 807-0028
Address
3675 SUMMIT RD
Enumeration Date
7 September 2017
Last Update Date
7 September 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3305935959
Graduation Year
2016 (10 years ago)
PAC ID
1153769955
Group Practice PAC ID
2961885314
Professional Enrollment ID
I20240328003703
Address ID
OH442407143KE2275X59XX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Loading map...

Provider Addresses for PHYLLIS ANN VAIR (M.ED., LPC)

  • 3675, Summit Road, Ravenna, Ravenna Township, Portage County, Ohio, 44266, United States

    RAVENNA, OH 442663513

    Phone: (330) 807-0028

    Type: Mailing

  • 302, East Erie Street, Downtown, Kent, Portage County, Ohio, 44240, United States

    KENT, OH 442403594

    Phone: (330) 593-5959

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240328003703IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44266)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961885314View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Clinical Social WorkerOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is PHYLLIS ANN VAIR (M.ED., LPC) identified in CMS data?
CMS-hosted NPPES data lists PHYLLIS ANN VAIR (M.ED., LPC) with NPI 1073031373.
Can I rely on PHYLLIS ANN VAIR (M.ED., LPC) being an active provider?
As of the registry snapshot, PHYLLIS ANN VAIR (M.ED., LPC) is marked active.
What is PHYLLIS ANN VAIR (M.ED., LPC)'s primary classification?
Counselor is the headline specialty for PHYLLIS ANN VAIR (M.ED., LPC) here. Clinical services aligned with this taxonomy classification.
What address line appears for PHYLLIS ANN VAIR (M.ED., LPC)?
PHYLLIS ANN VAIR (M.ED., LPC)'s geographic hint is Ravenna, Ohio in our summary view.
Why does PHYLLIS ANN VAIR (M.ED., LPC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

MS. RABEENA ALLI (PCC)

Mental Health Counselor
520 N CHESTNUT ST
NPI: 1619195021

MS. KATHALEEN A STEVENSON (LPCC)

Mental Health Counselor
4956 COLEMAN DR
NPI: 1063630408

MS. ALLISON M METZ (PC)

Mental Health Counselor
10456 E COBBLESTONE LN
NPI: 1487872818
1887A MOONLIT TRL
NPI: 1467673798
520, North Chestnut Street, Ravenna, Portage County, Ohio, 44266, United States
NPI: 1679794861
10 PENFIELD AVE
NPI: 1679794879
520, North Chestnut Street, Ravenna, Portage County, Ohio, 44266, United States
NPI: 1013138221
520, North Chestnut Street, Ravenna, Portage County, Ohio, 44266, United States
NPI: 1043431380
Rhodes Road, Kent, Franklin Township, Portage County, Ohio, 44240, United States
NPI: 1689889156