Active NPI
Joan E Mistur, LISW
- Clinical Social Worker
- Avon Lake, OH
National Provider Identifier
1013980465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I1797
- Practice address
- 32730 Walker Rd
#I-5
Avon Lake, OH 44012 - Phone
- (440) 933-8770
- Fax
- (440) 933-8991
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I1797 | OH | Primary |
Addresses
Primary practice location
32730 Walker Rd
#I-5
Avon Lake, OH 44012
Mailing address
32730 Walker Rd
#I-5
Avon Lake, OH 44012
Phone (440) 933-8770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000132154 | Other | OH | ANTHEM MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
27025 Bruce Rd
Bay Village, OH 44140-2212
Phone (440) 933-8770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I1797 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landings Family & Psychological Center, Inc. | Clinical | Current | Accepting new patients |
| Tree of Life Counseling and Training Center, Inc. | Past | Accepting new patients |
Locations
32730 Walker Rd
Ste I5
Avon Lake, OH 44012
Phone (440) 787-6311
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Avon Lake, OH
- NPI 1790952000
-
- Professional Counselor
- Westlake, OH
- NPI 1902320203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1013980465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32730 WALKER RD",
"address_2": "#I-5",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "44012",
"telephone_number": "440-933-8770",
"fax_number": "440-933-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32730 WALKER RD",
"address_2": "#I-5",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "44012",
"telephone_number": "440-933-8770",
"fax_number": "440-933-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTUR",
"first_name": "JOAN",
"middle_name": "E",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I1797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM MAGELLAN",
"identifier": "000000132154",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avon Lake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.