Gina Mazzone

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

111071 Issued in OH

Practice address

3135 Euclid Ave
Cleveland, OH 44115-2531

Phone

(216) 391-2030

NPI assigned

Jul 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Avenues of Counseling and MediationGroup PAC ID 6406931880, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Avenues of Counseling and Mediation

  • Mental Health Counselor
  • Medina, OH
  • NPI 1225253107
  Medicare reassignment Care Compare group NPD
• Affiliates in Behavioral Health, LLC

  • Psychologist
  • Independence, OH
  • NPI 1093820979
  Medicare reassignment NPD
• Lisa Borchert Dba Avenues of Counseling

  • Mental Health Counselor
  • Medina, OH
  • NPI 1750581179
  NPD (past)

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1619352366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152531",
            "telephone_number": "216-391-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152531",
            "telephone_number": "216-391-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZONE",
        "first_name": "GINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "111071",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0900530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio Mazzola Poli de Figueiredo
• Jeanette L Mazzola, LISW
• Sarah Elizabeth Mazzola, MS, LCGC
• Mary Jo Mazzolini, MA LSW
• Emily Anne Mazzone, RN
• Peter Mazzone, M.D.
• Sandra Mazzoni, D.O.
• Charles Mbanefo, M.D MRCP
• Brittany Milliner Mbanugo, DO
• Mireille Mpoyi Mbelu

• Addiction (Substance Use Disorder) Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.