Peter Michael Dimezza, LPCC-SUPV

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E0002511-S Issued in OH

Practice address

1607 State Rd Ste 9
Vermilion, OH 44089

Phone

(440) 967-7700

Fax

(440) 967-7701

NPI assigned

Jul 12, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• North Coast Counseling Services Inc

  • Community/Behavioral Health Agency
  • Vermilion, OH
  • NPI 1205147626
  Medicare reassignment NPD Authorized official
• Summit Academy Management

  • Community/Behavioral Health Agency
  • Akron, OH
  • NPI 1295882488

  Professional

  NPD (past)

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1225479751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 STATE RD STE 9",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440899142",
            "telephone_number": "440-967-7700",
            "fax_number": "440-967-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 STATE RD STE 9",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "44089",
            "telephone_number": "440-967-7700",
            "fax_number": "440-967-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25000 Center Ridge Rd",
            "address_2": "6",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441454105",
            "country_code": "US",
            "telephone_number": "440-892-7034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMEZZA",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "credential": "LPCC-SUPV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-12",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0002511-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda L Dean
• Bonnie Lynn Dean
• Vicki Deel-Lezon
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• Stacie Lynn Dewitt
• Discount Drug Mart Inc
• Emily Elizabeth Divers, MA
• Echoing Hills Village, Inc.
• Michelle R Elder
• Crystal Faustine Elkin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.