Individual provider Active NPI

Leah Patricia Marzilli, CDCA, M.S.

  • Community/Behavioral Health Agency
  • Pepper Pike, OH
National Provider Identifier
1649800285
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
172523 Issued in OH
Practice address
30800 Chagrin Blvd
Pepper Pike, OH 44124-5925
Phone
(216) 591-0324
Fax
(216) 591-1243
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 172523 OH Primary

Addresses

Primary practice location

30800 Chagrin Blvd
Pepper Pike, OH 44124-5925

Mailing address

30800 Chagrin Blvd
Pepper Pike, OH 44124-5925
Phone (216) 591-0324

Other practice location 1

3726 Darlington Ave NW
Canton, OH 44708-1718
Phone (330) 933-3567

Other identifiers 1

IdentifierTypeStateIssuer
2877463MedicaidOH

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
172523OHMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
True North Counseling and Wellness Current Accepting new patients

Organizations & group practices 1

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1649800285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30800 CHAGRIN BLVD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245925",
            "telephone_number": "216-591-0324",
            "fax_number": "216-591-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30800 CHAGRIN BLVD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245925",
            "telephone_number": "216-591-0324",
            "fax_number": "216-591-1243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3726 Darlington Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447081718",
            "country_code": "US",
            "telephone_number": "330-933-3567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARZILLI",
        "first_name": "LEAH",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "CDCA, M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "172523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2877463",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pepper Pike, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.