Active NPI
Amy Nicolazzo
- Professional Counselor
- Akron, OH
National Provider Identifier
1528196730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0003235-SUPV
- Practice address
- 37 N Broadway St
Akron, OH 44308-1910 - Phone
- (330) 535-8181
- Fax
- (330) 535-9336
- NPI assigned
- Mar 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0003235-SUPV | OH | Primary |
Addresses
Primary practice location
37 N Broadway St
Akron, OH 44308-1910
Mailing address
37 N Broadway St
Akron, OH 44308-1910
Phone (330) 535-8181
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0003235-SUPV | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zepf Center | Current | Accepting new patients | |
| Zepf Center | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Professional | Current | Accepting new patients |
Locations
800 N High St
Columbus, OH 43215
Phone (631) 540-8225
2005 Ashland Ave
Toledo, OH 43620
Phone (419) 255-3040
6605 W Central Ave
Ste 100
Toledo, OH 43617
Phone 41984177012235
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1215947809
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1689559163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528196730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 N BROADWAY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443081910",
"telephone_number": "330-535-8181",
"fax_number": "330-535-9336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 N BROADWAY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443081910",
"telephone_number": "330-535-8181",
"fax_number": "330-535-9336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAZZO",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0003235-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.