Individual provider Active NPI

Laura Elizabeth Petitti, LPC, NCC

  • Mental Health Counselor
  • Parma, OH
National Provider Identifier
1588171292
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1600044 Issued in OH
Practice address
5955 Ridge Rd
Parma, OH 44129-3936
Phone
(440) 888-0300
Fax
(440) 888-1686
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1600044 OH Primary

Addresses

Primary practice location

5955 Ridge Rd
Parma, OH 44129-3936

Mailing address

5882 Brecksville Rd
Independence, OH 44131-1516
Phone (216) 778-9987

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730001317 OH Practitioner - Mental Health Counselor 2365959772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Transformation Wellness LLCGroup PAC ID 2062889611, 9 clinicians

Practice addresses (Care Compare)

17951 Jefferson Park Rd
Suite 100
Middleburg Heights, OH 44130-8439
Phone (440) 879-8517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1600044OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues of Counseling and Mediation Mental Health CurrentSince Jul 11, 2025 Accepting new patients
Transformation Wellness LLC Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Lisa Borchert Dba Avenues of Counseling Mental Health Past Accepting new patients

Locations

843 N Cleveland Massillon Rd
Ste 9
Fairlawn, OH 44333

843 N Cleveland Massillon Rd
Fairlawn, OH 44333
Phone (330) 723-7977

230 S Court St
Ste 5
Medina, OH 44256
Phone (330) 723-7977

17951 Jefferson Park Rd
Ste 100
Middleburg Heights, OH 44130
Phone (440) 879-8517

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.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1588171292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5882 BRECKSVILLE RD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441311516",
            "telephone_number": "216-778-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441293936",
            "telephone_number": "440-888-0300",
            "fax_number": "440-888-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITTI",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1600044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.