Individual provider Active NPI

Adam Lonardo

  • Counselor
  • Youngstown, OH
National Provider Identifier
1235754052
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
173700 Issued in OH
Practice address
725 Boardman Canfield Rd Ste C4
Youngstown, OH 44512-4367
Phone
(855) 292-9778
NPI assigned
Jun 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 173700 OH
Counselor 101Y00000X 173700 OH Primary

Addresses

Primary practice location

725 Boardman Canfield Rd Ste C4
Youngstown, OH 44512-4367

Mailing address

9495 Harvard Blvd
Youngstown, OH 44514-3369
Phone (855) 292-9778

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
173700OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Recovery Services, Inc. CurrentSince Jun 14, 2020 Accepting new patients
Renew U Therapy & Wellness, LLC Counselor Current Accepting new patients
Broadway Recovery Services, Inc. CurrentSince Oct 9, 2022 Accepting new patients

Locations

9495 Harvard Blvd
Youngstown, OH 44514
Phone (330) 716-0326

725 Boardman Canfield Rd
Ste C4
Youngstown, OH 44512
Phone (330) 716-0326

Organizations & group practices 3

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1235754052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 HARVARD BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143369",
            "telephone_number": "855-292-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BOARDMAN CANFIELD RD STE C4",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124367",
            "telephone_number": "855-292-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONARDO",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "173700",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "173700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.