Individual provider Active NPI

Jessica V. Lombardi, MA, LPCC-S, NCC

  • Professional Counselor
  • Beachwood, OH
National Provider Identifier
1548550825
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1500264 Issued in OH
Practice address
23811 Chagrin Blvd Ste 116
Beachwood, OH 44122-5525
Phone
(216) 816-3973
NPI assigned
Apr 8, 2011
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7550 NC
Professional Counselor 101YP2500X E.1500264 OH Primary

Addresses

Primary practice location

23811 Chagrin Blvd Ste 116
Beachwood, OH 44122-5525

Mailing address

23811 Chagrin Blvd Ste 116
Beachwood, OH 44122-5525
Phone (216) 816-3973

Other practice location 1

24800 Highpoint Rd
Beachwood, OH 44122-6052
Phone (216) 342-5496

Other practice location 2

2018 New Garden Rd. #C
Greensboro, NC 27410
Phone (336) 419-7370

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

LicenseStateTypeSpecialty
7550NCMDProfessional Counselor
E.1500264OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Patchwork Counseling LLC CurrentSince Dec 24, 2023 Accepting new patients
Partners for Behavioral Health and Wellness Inc PastSince Oct 1, 2020 Accepting new patients

Locations

23811 Chagrin Blvd
Ste 116
Beachwood, OH 44122
Phone (216) 282-6432

Organizations & group practices 2

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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1548550825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD STE 116",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225525",
            "telephone_number": "216-816-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD STE 116",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225525",
            "telephone_number": "216-816-3973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24800 Highpoint Rd",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441226052",
            "country_code": "US",
            "telephone_number": "216-342-5496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2018 New Garden Rd. #C",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "27410",
            "country_code": "US",
            "telephone_number": "336-419-7370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMBARDI",
        "first_name": "JESSICA",
        "middle_name": "V.",
        "credential": "MA, LPCC-S, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7550",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1500264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.