Individual provider Active NPI

Madeline Lapolla

  • Mental Health Counselor
  • Warren, OH
National Provider Identifier
1295564144
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2404491 Issued in OH
Practice address
1705 Woodland St NE
Warren, OH 44483-5348
Phone
(330) 469-6777
Fax
(330) 469-6779
NPI assigned
Jul 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.2404491 OH Primary

Addresses

Primary practice location

1705 Woodland St NE
Warren, OH 44483-5348

Mailing address

1705 Woodland St NE
Warren, OH 44483-5348
Phone (330) 469-6777

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241007002999 OH Practitioner - Mental Health Counselor 5294266870 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2404491OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Oakwood Counseling Center Inc CurrentSince Jun 30, 2025 Accepting new patients
Thrive Counseling LLC Mental Health CurrentSince Jul 1, 2024 Accepting new patients

Locations

1705 Woodland St NE
Warren, OH 44483
Phone (330) 469-6777

1704 North Rd SE
Warren, OH 44484
Phone (330) 856-3633

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/thrivecounselingwarren/r4/

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": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1295564144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 WOODLAND ST NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444835348",
            "telephone_number": "330-469-6777",
            "fax_number": "330-469-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 WOODLAND ST NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444835348",
            "telephone_number": "330-469-6777",
            "fax_number": "330-469-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPOLLA",
        "first_name": "MADELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2404491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.