Samuel Richard Puccinelli

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6700 Beta Dr Ste 108
Mayfield, OH 44143-2335

Phone

(440) 460-0140

NPI assigned

Apr 8, 2025

Sex

Male

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

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.

• Family Behavioral Health Care, LLC

  • Mental Health Counselor
  • Mayfield Village, OH
  • NPI 1235288861
  NPD

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1427842012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19510 LORAIN RD APT 105",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261900",
            "telephone_number": "440-341-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 BETA DR STE 108",
            "city": "MAYFIELD",
            "state": "OH",
            "postal_code": "441432335",
            "telephone_number": "440-460-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCCINELLI",
        "first_name": "SAMUEL",
        "middle_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karissa Katcher, AUD
• Pamela M Land, LISW
• Xadahjai Mihaela Londyn, PMHNP-BC, RN
• Jessica Mendelson, D.O.
• Danielle Musgrave, RDN, LD
• Rachel Jane Puracchio, COTA/L
• Safeway Transportation,Inc.
• Alexandra Schriefer, OTR/L
• Cara Annmarie Soltesz, LPC
• Michael Starski, DMD

• Mental Health Counselor in Mayfield, OH
• Providers in Mayfield, 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 Apr 8, 2025; 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.