Individual provider Active NPI

Daniela Ghizzoni

  • Professional Counselor
  • Niles, OH
National Provider Identifier
1104177377
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1100593-TRNE Issued in OH
Practice address
165 E Park Ave
Niles, OH 44446-2352
Phone
(330) 544-8005
NPI assigned
Sep 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1100593-TRNE OH Primary

Addresses

Primary practice location

165 E Park Ave
Niles, OH 44446-2352

Mailing address

PO Box 683
Niles, OH 44446-0683
Phone (330) 544-8005

Other identifiers 1

IdentifierTypeStateIssuer
11022MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709004729 OH Practitioner - Mental Health Counselor 0547705014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

320 High St NE
Warren, OH 44481-1222
Phone (330) 394-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1100593-TRNEOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Family and Community Services Current Accepting new patients
Compass Family and Community Services CurrentSince May 8, 2024 Accepting new patients
Cadence Care Network PastSince Jul 31, 2021 Accepting new patients

Locations

1960 E County Line Rd
Ste 5
Mineral Ridge, OH 44440

320 High St NE
Warren, OH 44481
Phone (330) 394-9090

535 Marmion Ave
Youngstown, OH 44502
Phone (330) 782-5664

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1104177377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444460683",
            "telephone_number": "330-544-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E PARK AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444462352",
            "telephone_number": "330-544-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIZZONI",
        "first_name": "DANIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "1100593-TRNE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11022",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

Verify at the official NPI Registry.