Individual provider Active NPI

Jamie L Lizak, LPCC-S

  • Professional Counselor
  • Cuyahoga Falls, OH
National Provider Identifier
1740638675
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1800751-SUPV Issued in OH
Practice address
2795 Front St Ste a
Cuyahoga Falls, OH 44221-1900
Phone
(234) 738-3843
NPI assigned
Jun 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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.1800751-SUPV OH Primary

Addresses

Primary practice location

2795 Front St Ste a
Cuyahoga Falls, OH 44221-1900

Mailing address

2795 Front St Ste a
Cuyahoga Falls, OH 44221-1900
Phone (234) 738-3843

Other names 1

  • Jamie L Pryor 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
I20250418001869 OH Practitioner - Mental Health Counselor 7416472790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1800751-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Navigate Counseling and Consultation Services Professional CurrentSince Mar 10, 2025 Accepting new patients
Azalea Institute-Center for MFT & LPC Advancement, LLC Professional Past Accepting new patients

Locations

960 Graham Rd
Ste 3
Cuyahoga Falls, OH 44221
Phone (330) 208-4291

421 Graham Rd
Ste F
Cuyahoga Falls, OH 44221
Phone (330) 606-9262

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1740638675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 FRONT ST STE A",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211900",
            "telephone_number": "234-738-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 FRONT ST STE A",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211900",
            "telephone_number": "234-738-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZAK",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800751-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "PRYOR",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.