Active NPI
Jillian Iannetta, M.A., LPCC
- Professional Counselor
- Fairlawn, OH
National Provider Identifier
1477791309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2505345
- Practice address
- 2680 W Market St
Fairlawn, OH 44333-4215 - Phone
- (234) 867-5001
- NPI assigned
- Jan 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | E.2505345 | OH | Primary |
Addresses
Primary practice location
2680 W Market St
Fairlawn, OH 44333-4215
Mailing address
2680 W Market St
Fairlawn, OH 44333-4215
Phone (234) 867-5001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.2505345 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1477791309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 W MARKET ST",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443334215",
"telephone_number": "234-867-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 W MARKET ST",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443334215",
"telephone_number": "234-867-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNETTA",
"first_name": "JILLIAN",
"credential": "M.A., LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-30",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2505345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.