Individual provider Active NPI

Gail Penny Rizzo

  • Professional Counselor
  • West Chester, OH
National Provider Identifier
1215455407
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0500616-SUPV Issued in OH
Practice address
8940 Union Centre Blvd
West Chester, OH 45069-2948
Phone
(513) 874-5699
Fax
(513) 682-4230
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.131080 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 163258 KY
Mental Health Counselor 101YM0800X E.0500616-SUPV OH
Mental Health Counselor 101YM0800X 103099 KY
Professional Counselor 101YP2500X E.0500616-SUPV OH Primary

Addresses

Primary practice location

8940 Union Centre Blvd
West Chester, OH 45069-2948

Mailing address

8940 Union Centre Blvd
West Chester, OH 45069-2948
Phone (513) 874-5699

Other practice location 1

3368 Huntsman Trce
Amelia, OH 45102-2125
Phone (513) 376-0230

Other practice location 2

3368 Huntsman Trce
Amelia, OH 45102-2125
Phone (513) 376-0230

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

LicenseStateTypeSpecialty
163258KYMDAddiction (Substance Use Disorder) Counselor
LICDC.131080OHMDAddiction (Substance Use Disorder) Counselor
103099KYMDMental Health Counselor
E.0500616-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center Past Accepting new patients

Organizations & group practices 1

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215455407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 UNION CENTRE BLVD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692948",
            "telephone_number": "513-874-5699",
            "fax_number": "513-682-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 UNION CENTRE BLVD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692948",
            "telephone_number": "513-874-5699",
            "fax_number": "513-682-4230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3368 Huntsman Trce",
            "address_purpose": "LOCATION",
            "city": "Amelia",
            "state": "OH",
            "postal_code": "451022125",
            "country_code": "US",
            "telephone_number": "513-376-0230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3368 Huntsman Trce",
            "address_purpose": "LOCATION",
            "city": "Amelia",
            "state": "OH",
            "postal_code": "451022125",
            "country_code": "US",
            "telephone_number": "513-376-0230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "GAIL",
        "middle_name": "PENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.131080",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "163258",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0500616-SUPV",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "103099",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0500616-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.