Individual provider Active NPI

Anna Perriello-Mayer, LPCC-S, LICDC

  • Professional Counselor
  • Cleveland, OH
National Provider Identifier
1619338969
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0008418-SUPV Issued in OH
Practice address
10427 Detroit Ave
Cleveland, OH 44102-1645
Phone
(216) 521-6511
Fax
(216) 521-4006
NPI assigned
Mar 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 E.0008418-SUPV OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 151094 OH

Addresses

Primary practice location

10427 Detroit Ave
Cleveland, OH 44102-1645

Mailing address

10427 Detroit Ave
Cleveland, OH 44102-1645
Phone (216) 521-6511

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

State licenses

LicenseStateTypeSpecialty
151094OHMDAddiction (Substance Use Disorder) Counselor
E.0008418-SUPVOHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1619338969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10427 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441021645",
            "telephone_number": "216-521-6511",
            "fax_number": "216-521-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10427 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441021645",
            "telephone_number": "216-521-6511",
            "fax_number": "216-521-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIELLO-MAYER",
        "first_name": "ANNA",
        "credential": "LPCC-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0008418-SUPV",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "151094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.