Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Fasig, LPCC-S, LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1245588375

Kevin Fasig, LPCC-S, LICDC is an Addiction (Substance Use Disorder) Counselor in Medina, Ohio. Licensed in Ohio. Registered with an NPI since 2012.

Licensed in
OH
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

246 Northland Dr Ste 200A
Medina, OH 44256-3440
Phone: (330) 725-9195
Fax: (330) 725-9187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.1300003-SUPV (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LICDC.161660 (OH)
Professional Counselor Taxonomy 101YP2500X · Licence LE-00019042 (OH)

Record details

NPI number1245588375
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC-S , LICDC
Sole proprietorNo
NPI enumeratedAugust 21, 2012
Last updated in NPPESMarch 26, 2020
Certification dateMarch 26, 2020

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