Individual provider Active NPI

Johnna Donnelly, LPC

  • Professional Counselor
  • Wexford, PA
National Provider Identifier
1457904211
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
11676 Perry Hwy Ste 2309
Wexford, PA 15090-7200
Phone
(814) 201-1416
NPI assigned
Jul 22, 2019
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C.1901774-TRNE OH
Addiction (Substance Use Disorder) Counselor 101YA0400X C.2002798 OH
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

11676 Perry Hwy Ste 2309
Wexford, PA 15090-7200

Mailing address

1213 Highland Ave
New Castle, PA 16105-2646
Phone (724) 234-0379

Other practice location 1

5760 Patriot Blvd
Austintown, OH 44515-1170
Phone (330) 953-0243 ext. 1104

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
I20240219000324 OH Practitioner - Mental Health Counselor 1850735861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1901774-TRNEOHMDAddiction (Substance Use Disorder) Counselor
C.2002798OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sobair LLC CurrentSince Sep 1, 2022 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Oct 7, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Jan 6, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

100 Allegheny Dr
Ste 105D
Warrendale, PA 15086

11676 Perry Hwy
Ste 2309
Wexford, PA 15090
Phone (412) 345-1127

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1691712000000",
    "number": "1457904211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HIGHLAND AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161052646",
            "telephone_number": "724-234-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11676 PERRY HWY STE 2309",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907200",
            "telephone_number": "814-201-1416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5760 Patriot Blvd",
            "address_purpose": "LOCATION",
            "city": "Austintown",
            "state": "OH",
            "postal_code": "445151170",
            "country_code": "US",
            "telephone_number": "330-953-0243 x1104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "JOHNNA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "C.1901774-TRNE",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "C.2002798",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.