Lori A Smith, PCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.0600696 Issued in OH

Practice address

602 South St
Ste C1-a
Chardon, OH 44024-1499

Phone

(216) 932-2800

NPI assigned

Apr 6, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lori A Stasko Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1174812580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 SOUTH ST",
            "address_2": "STE C1-A",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241499",
            "telephone_number": "216-932-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 SOUTH ST",
            "address_2": "STE C1-A",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241499",
            "telephone_number": "216-932-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.0600696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "STASKO",
            "middle_name": "A",
            "credential": "LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Paige Ellen Smearman
• Emily Smith
• Eve Louise Smith, LPC, LCDCIII
• Kyle Smith
• Lance Smith
• Melissa Smith
• Natalie C Smith, LISW
• Tamara Ann Smith, M.D.
• Zachary T Smith, MD
• Kraig K Solak, D.O.

• Mental Health Counselor in Chardon, OH
• Providers in Chardon, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.