Deanna Revels, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2203123-SUPV Issued in OH

Practice address

14650 Detroit Ave Ste 110
Lakewood, OH 44107-4210

Phone

(216) 238-3622

NPI assigned

Oct 28, 2019

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

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathways Counseling and Growth CenterGroup PAC ID 3870716251, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/greenleafctr/r4/
• FHIR API: https://api.qualifacts.org/api/fhir/pathwayscounselingcenter/r4/

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.

• Pathways Counseling and Growth Center

  • Community/Behavioral Health Agency
  • Elyria, OH
  • NPI 1760450837
  Medicare reassignment Care Compare group NPD
• Greenleaf Family Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Akron, OH
  • NPI 1457311466
  NPD
• Navigate Counseling and Consultation Services

  • Counselor
  • Cuyahoga Falls, OH
  • NPI 1730811191

  Mental Health

  NPD
• Greenleaf Family Center

  • Community/Behavioral Health Agency
  • Akron, OH
  • NPI 1255738456
  NPD (past)
• Pathways Counseling and Growth Center

  • Community/Behavioral Health Agency
  • Grafton, OH
  • NPI 1801104799
  NPD (past)
• Phoenix Counseling Center LLC

  dba The Phoenix Counseling Center LLC

  • Mental Health Counselor
  • North Ridgeville, OH
  • NPI 1992426050
  NPD (past)

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1770126310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 DETROIT AVE STE 110",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074210",
            "telephone_number": "216-238-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 DETROIT AVE STE 110",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074210",
            "telephone_number": "216-238-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELS",
        "first_name": "DEANNA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2203123-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.