Linda Lizak Witt, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.1700447 Issued in OH

Practice address

409 N Broadway St
Lebanon, OH 45036

Phone

(513) 409-5050

Fax

(513) 409-5031

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Linda Lizak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• 3C Counseling & Consulting Services

  • Community/Behavioral Health Agency
  • Mason, OH
  • NPI 1295285450
  NPD (past)
• 3C Counseling & Consulting Services, LLC

  • Mental Health Counselor
  • Mason, OH
  • NPI 1396198206
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1669517058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N BROADWAY ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361770",
            "telephone_number": "513-409-5050",
            "fax_number": "513-409-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N BROADWAY ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "45036",
            "telephone_number": "513-409-5050",
            "fax_number": "513-409-5031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3532 Irwin Simpson Rd Ste 85",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450409550",
            "country_code": "US",
            "telephone_number": "513-573-3550",
            "fax_number": "513-573-3552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITT",
        "first_name": "LINDA",
        "middle_name": "LIZAK",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1700447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR, SOCIAL WORKER AND MARRIAGE AND FAMILY THERAPIST BOARD",
            "identifier": "E.1700447",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "LIZAK",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandy M Winn
• Kristina J Winner, LISW-S
• Dora Yika Wirngo I
• Mary Wirth
• Courtney H Wise, BS
• Katie E Wolf
• Matthew Charles Wood, MS, AT
• Renea E Wooddell
• Ruth Woodside
• Elizabeth Ann Wright, MS, CCC-SLP

• Mental Health Counselor in Lebanon, OH
• Providers in Lebanon, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.