Lisa Marie Giovannelli, PHD, PCC-S, LICDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0800007 Issued in OH

Practice address

3926 Clock Pointe TRL
Suite 103
Stow, OH 44224-6965

Phone

(330) 529-2002

Fax

(330) 529-2002

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Family and Individual Therapeutic Healing LLC

  • Professional Counselor
  • Columbia, SC
  • NPI 1518565928
  NPD Authorized official
• Family and Individual Therapeutic Healing LLC

  • Counselor
  • Stow, OH
  • NPI 1346780137

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1174742837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 CLOCK POINTE TRL",
            "address_2": "SUITE 103",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246965",
            "telephone_number": "330-529-2002",
            "fax_number": "330-529-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3926 CLOCK POINTE TRL",
            "address_2": "SUITE 103",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246965",
            "telephone_number": "330-529-2002",
            "fax_number": "330-529-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVANNELLI",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD, PCC-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "0800007",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "011296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth George, PT, DPT
• Cecelia Marie Getz I, LPN
• Paul Gibbons, M.D.
• Amanda Gillespie, RPH
• Joyce L. Giovannelli, PH.D.
• Amy Jo Givens, RPH
• Glanville & Hussing, O.D., Inc.
• Cara Catherine Goettel, DPT
• Michael Anthony Golkiewicz, D,C.
• Samantha Lynn Goodenow

• Professional Counselor in Stow, OH
• Providers in Stow, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.