Active NPI
Allison Petty, LPCC
- Professional Counselor
- Medina, OH
National Provider Identifier
1124568365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1700194
- Practice address
- 246 Northland Dr
Medina, OH 44256 - Phone
- (330) 723-9600
- NPI assigned
- Mar 7, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1700194 | OH | Primary |
Addresses
Primary practice location
246 Northland Dr
Medina, OH 44256
Mailing address
434 Eastland Rd
Berea, OH 44017-1217
Phone (440) 234-2006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1700194 | OH | MD | Professional Counselor |
Interoperability endpoints
- allison.petty.p11@direct.loraincountyhealth.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1124568365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 EASTLAND RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440171217",
"telephone_number": "440-234-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 NORTHLAND DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "44256",
"telephone_number": "330-723-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTY",
"first_name": "ALLISON",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1700194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.