Lisa Carole Daniels-Kravitz, LPD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.0700330 Issued in OH

Practice address

6929 W 130TH St Ste 500
Parma Heights, OH 44130-7878

Phone

(440) 842-6867

NPI assigned

Jan 8, 2018

Sex

Female

Sole proprietor

Yes

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

• Mrs. Lisa Carole Kravitz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• North Coast Family Foundation

  • Psychologist
  • Middleburg Heights, OH
  • NPI 1013959238
  NPD (past)

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1720595135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 W 130TH ST STE 500",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307878",
            "telephone_number": "440-842-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 W 130TH ST STE 500",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307878",
            "telephone_number": "440-842-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS-KRAVITZ",
        "first_name": "LISA",
        "middle_name": "CAROLE",
        "name_prefix": "Mrs.",
        "credential": "LPD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0700330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO COUNSELOR, SOCIAL WORKER, AND MARRIAGE AND FAMILY THERAPIST BOARD",
            "identifier": "C.0700330",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KRAVITZ",
            "middle_name": "CAROLE",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Parma Heights, OH
• Providers in Parma Heights, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.