Lisa Marie Pietras, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C1902200 Issued in OH

Practice address

2211 River Rd
Maumee, OH 43537

Phone

(419) 720-3052

Fax

(417) 893-0475

NPI assigned

Dec 19, 2018

Last updated

Oct 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1467924134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 WANAMAKER DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43613",
            "telephone_number": "407-453-3908",
            "fax_number": "419-893-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 RIVER RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-720-3052",
            "fax_number": "417-893-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRAS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C1902200",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331568",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peyton Elise Phillips
• SH'Dymond Pierce
• Brooke Pieroth, RBT
• Brittany Ann Pierson
• Kammie Pietras, RBT
• Joy Hechanova Pineda, M.D.
• Pioneer Physician Services, Inc.
• Daniel John Pipoly, MD
• Cheryl Ann Pitock, APRN
• Pamela Place, PTA

• Professional Counselor in Maumee, OH
• Providers in Maumee, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.