Lisa L Ross

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

171026 Issued in OH

Practice address

4342 Gallia St
New Boston, OH 45662-5562

Phone

(740) 529-1184

Fax

(740) 529-4118

NPI assigned

Nov 18, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southern Hope Recovery Center LLC

  • Addiction (Substance Use Disorder) Counselor
  • Chesapeake, OH
  • NPI 1871150961
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1083259790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 GALLIA ST",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625562",
            "telephone_number": "740-529-1184",
            "fax_number": "740-529-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 GALLIA ST",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625562",
            "telephone_number": "740-529-1184",
            "fax_number": "740-529-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LISA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "171026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alanna Lee Reisinger, PT, DPT
• Tessa Rice, MA, CCC-SLP
• Allison Riggs
• River City Chiropractic LLC
• Robin E Hamm-Lavalley O. D.
• RX Plus, Inc
• Vickie Seal
• Serenity Now Counseling and Treatment LLC
• Zachary Miller Shope
• Mary Ruth Singh

• Addiction (Substance Use Disorder) Counselor in New Boston, OH
• Providers in New Boston, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.