Individual provider Active NPI

Leslie Cuva Mongelluzzi, IMFT

  • Marriage & Family Therapist
  • Mentor, OH
National Provider Identifier
1861929895
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F1700011 Issued in OH
Practice address
8565 Mentor Ave
Mentor, OH 44060-5821
Phone
(440) 320-4913
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X F1700011 OH
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X F1700011 OH Primary

Addresses

Primary practice location

8565 Mentor Ave
Mentor, OH 44060-5821

Mailing address

8565 Mentor Ave
Mentor, OH 44060-5821
Phone (949) 939-5144

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
I20250207001795 OH Practitioner - Marriage and Family Therapist 3577093418

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9766 Rollin Rd
Waite Hill, OH 44094-9709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1700011OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
No Limits 4 Life Inc Marriage & Family Therapist CurrentSince Aug 16, 2024 Accepting new patients

Locations

8565 Mentor Ave
Mentor, OH 44060
Phone (440) 320-4913

Organizations & group practices 1

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": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1861929895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605821",
            "telephone_number": "949-939-5144",
            "fax_number": "216-274-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605821",
            "telephone_number": "440-320-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGELLUZZI",
        "first_name": "LESLIE",
        "middle_name": "CUVA",
        "name_prefix": "Mrs.",
        "credential": "IMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "OH",
            "license": "F1700011",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F1700011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.