Chelsea Peticca, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1300250 Issued in OH

Practice address

20800 Westgate Professional Center
Suite 200
Fairview Park, OH 44126

Phone

(440) 333-4949

Fax

(440) 333-5044

NPI assigned

Apr 22, 2014

Last updated

Apr 22, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Effective Living

  • Psychologist
  • Westlake, OH
  • NPI 1790781102
  NPD (past)

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1548680226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 WESTGATE PROFESSIONAL CENTER",
            "address_2": "SUITE 200",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "44126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 WESTGATE PROFESSIONAL CENTER",
            "address_2": "SUITE 200",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "44126",
            "telephone_number": "440-333-4949",
            "fax_number": "440-333-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETICCA",
        "first_name": "CHELSEA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1300250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parma Drug Inc (Natures Pharmacy and Compounding Center)
• Kristen L Pepera, LPCC
• Cara Nicole Perez, LMT
• Jonathan Perez, LMT
• Joseph Peters
• Mark Petro, D.C.
• Phyt for Function Cleveland West
• Amanda Lynn Pierce
• Tara M Pierce, LISW-S
• Jennifer Kathleen Pineiro, CNP

• Mental Health Counselor in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.