Stacy Lynn Perretti, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E0002919 Issued in OH

Practice address

29125 Chagrin Blvd
Beachwood, OH 44122-4622

Phone

(216) 292-3999

NPI assigned

May 26, 2021

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jewish Family Service AssociationGroup PAC ID 8729990023, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jewish Family Service Association

  • Community/Behavioral Health Agency
  • Pepper Pike, OH
  • NPI 1659445153
  Medicare reassignment Care Compare group NPD
• Jewish Family Service Association

  • Home Health Agency
  • Pepper Pike, OH
  • NPI 1528192655
  NPD
• Jewish Family Service Association

  • Public Health or Welfare Agency
  • Pepper Pike, OH
  • NPI 1639518970
  NPD

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1497320907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 N MIAMI DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29125 CHAGRIN BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224622",
            "telephone_number": "216-292-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRETTI",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0002919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mabel Linairis Peregrin Delgado
• Marina Perelman, PHARMD
• Anastasiya Pereskokova, AGNP
• Laura Antonieta Perez Troisi
• James Charles Perhavec, D.D.S.
• Kalicia Perry, LPC
• Personal Space: Self Centering Therapy
• Meekha Peter
• Savannah Peters, CNP
• William J Petersilge, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.