Active NPI
Adam Lonardo
- Counselor
- Youngstown, OH
National Provider Identifier
1235754052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 173700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 173700 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadway Recovery Services, Inc. | Current | Accepting new patients | |
| Renew U Therapy & Wellness, LLC | Counselor | Current | Accepting new patients |
| Broadway Recovery Services, Inc. | Current | 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.
-
- Community/Behavioral Health Agency
- Youngstown, OH
- NPI 1619692332
-
- Substance Abuse Rehabilitation Facility
- Youngstown, OH
- NPI 1861017683
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Youngstown, OH
- NPI 1467290999
Counselor
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.