Andrea Lynn Paventi, LCDC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

991762 Issued in OH

Practice address

25 N Canfield Niles Rd
Youngstown, OH 44515-2328

Phone

(330) 270-2380

Fax

(330) 270-2383

NPI assigned

Jun 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1386174340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 WESTCHESTER DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152572",
            "telephone_number": "330-501-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152328",
            "telephone_number": "330-270-2380",
            "fax_number": "330-270-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVENTI",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "LCDC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "991762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene A. Patton
• Uma Paudel
• Gail Lynn Paul, R.N.
• Paulette Brown Counseling, Inc
• Kimberly Lynn Pavelko, TSS
• Alana Pavick
• Erin Marie Pavick, ATC
• Grace C Pavkovich
• Laura Allyson Pavlicko, BA
• Libbey J Pawlak, RBT

• Addiction (Substance Use Disorder) Counselor in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.