Individual provider Active NPI

Alyssa Leeann Schultz, LPCC

  • Professional Counselor
  • Mentor, OH
National Provider Identifier
1326691189
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2505242 Issued in OH
Practice address
9401 Mentor Ave # 129
Mentor, OH 44060-4519
Phone
(440) 290-6270
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2505242 OH Primary
Professional Counselor 101YP2500X 11347 CA

Addresses

Primary practice location

9401 Mentor Ave # 129
Mentor, OH 44060-4519

Mailing address

9401 Mentor Ave # 129
Mentor, OH 44060-4519
Phone (440) 290-6270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240918003272 CA Practitioner - Mental Health Counselor 8729529698 Reassigns benefits to 2 organizations
I20250723004496 OH Practitioner - Mental Health Counselor 8729529698 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11347CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ravenwood Mental Health Center CurrentSince May 17, 2025 Accepting new patients
Healthright 360 Current Accepting new patients
Ravenwood Mental Health Center CurrentSince May 17, 2025 Accepting new patients
Ravenwood Mental Health Center Current Accepting new patients
Healthright 360 CurrentSince Sep 1, 2024 Accepting new patients
Healthright 360 CurrentSince Sep 1, 2024 Accepting new patients

Locations

1340 Tully Rd
Ste 301
San Jose, CA 95122
Phone (408) 380-7348

12557 Ravenwood Dr
Concord Twp, OH 44024
Phone (440) 990-6104

Interoperability endpoints

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

Organizations & group practices 8

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1326691189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 MENTOR AVE # 129",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604519",
            "telephone_number": "440-290-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 MENTOR AVE # 129",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604519",
            "telephone_number": "440-290-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ALYSSA",
        "middle_name": "LEEANN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2505242",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "11347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.