Individual provider Active NPI

Lucy Defiore Golden-Frayte, LPCC-S

  • Professional Counselor
  • Boardman, OH
National Provider Identifier
1639674757
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2203141-SUPV Issued in OH
Practice address
8255 South Ave
Boardman, OH 44512-6483
Phone
(330) 797-0070
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2203141-SUPV OH Primary

Addresses

Primary practice location

8255 South Ave
Boardman, OH 44512-6483

Mailing address

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070

Other practice location 1

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070

Other practice location 2

2894 Center Rd
Poland, OH 44514-2154
Phone (330) 797-0070

Other names 1

  • Lucy Defiore Golden Former name

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
I20240104002097 OH Practitioner - Mental Health Counselor 7911358890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian HealthcareGroup PAC ID 3779553995, 25 clinicians

Practice addresses (Care Compare)

320 High St NE
Warren, OH 44481-1222
Phone (330) 797-0070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2203141-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Healthcare Counselor CurrentSince Jan 1, 2024 Accepting new patients
Meridian Healthcare CurrentSince Jan 1, 2024 Accepting new patients

Locations

320 High St NE
Warren, OH 44481
Phone (330) 394-9090

2894 Center Rd
Youngstown, OH 44514
Phone (330) 726-6339

527 N Meridian Rd
Youngstown, OH 44509
Phone (330) 797-0074

8255 South Ave
Youngstown, OH 44512
Phone (330) 318-3830

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Meridian HealthcareYoungstown, OH, CCN D21110 Federally qualified health center Corporate Director Jan 5, 2026
Meridian HealthcareYoungstown, OH, CCN D21111 Federally qualified health center Corporate Director Jan 5, 2026

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1639674757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091227",
            "telephone_number": "330-797-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8255 SOUTH AVE",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126483",
            "telephone_number": "330-797-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 N Meridian Rd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445091227",
            "country_code": "US",
            "telephone_number": "330-797-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2894 Center Rd",
            "address_purpose": "LOCATION",
            "city": "Poland",
            "state": "OH",
            "postal_code": "445142154",
            "country_code": "US",
            "telephone_number": "330-797-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDEN-FRAYTE",
        "first_name": "LUCY",
        "middle_name": "DEFIORE",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2203141-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCY",
            "last_name": "GOLDEN",
            "middle_name": "DEFIORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.