Individual provider Active NPI

Lisa A. Kacenjar, LISW

  • Counselor
  • Parma, OH
National Provider Identifier
1841314291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
I0008368 Issued in OH
Practice address
5550 Pearl Rd
Parma, OH 44129-2541
Phone
(440) 885-0378
Fax
(440) 886-5873
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X I0008368 OH Primary

Addresses

Primary practice location

5550 Pearl Rd
Parma, OH 44129-2541

Mailing address

8001 Ridgedale Rd
North Royalton, OH 44133-1831
Phone (440) 230-5278

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841314291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 RIDGEDALE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331831",
            "telephone_number": "440-230-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 PEARL RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292541",
            "telephone_number": "440-885-0378",
            "fax_number": "440-886-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACENJAR",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "I0008368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.