Alyssa Lynn Pisanelli, LPCC-S, LICDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2202698-SUPV Issued in OH

Practice address

616 Irving Park Blvd
Sheffield Lake, OH 44054-1624

Phone

(440) 731-7593

NPI assigned

Feb 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Alyssa Lynn Phillips Former name

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

Medicare enrollment (NPD)

Enrolled

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.

• Peter Arian LLC

  • Psychologist
  • Cleveland, OH
  • NPI 1184324287
  Medicare reassignment NPD
• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Mental Health

  Medicare reassignment NPD
• Achieving Nirvana Counseling

  • Mental Health Counselor
  • Sheffield Lake, OH
  • NPI 1033979760
  NPD Authorized official
• Kaitlyn Cassidy LLC

  • Mental Health Counselor
  • Cleveland, OH
  • NPI 1538932785
  NPD
• Cle Counseling LLC

  • Counselor
  • Westlake, OH
  • NPI 1568948107

  Mental Health

  NPD (past)
• Haugland, Lamarche and Ramage LLC

  • Occupational Therapy Assistant
  • Columbus, OH
  • NPI 1760963920
  NPD (past)
• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1174680557
  NPD (past)
• Washington Wellness Institute, LLC

  • Mental Health Counselor
  • Cleveland, OH
  • NPI 1871155176
  NPD (past)

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1356889646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 IRVING PARK BLVD",
            "city": "SHEFFIELD LAKE",
            "state": "OH",
            "postal_code": "440541624",
            "telephone_number": "440-731-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 IRVING PARK BLVD",
            "city": "SHEFFIELD LAKE",
            "state": "OH",
            "postal_code": "440541624",
            "telephone_number": "440-731-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISANELLI",
        "first_name": "ALYSSA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPCC-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2202698-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "PHILLIPS",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "LPCC-S, LICDC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Rite Aid of Ohio Inc

• Mental Health Counselor in Sheffield Lake, OH
• Providers in Sheffield Lake, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.