Amy R Dorod-Gaul, M.ED, LPCC-SUPV

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0900128-SUPV Issued in OH

Practice address

35010 Chardon Rd Ste 103
Willoughby Hills, OH 44094-9011

Phone

(440) 597-2517

NPI assigned

Feb 2, 2011

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 2

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anne Pearl, LLCGroup PAC ID 5597108068, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Anne Pearl, LLC

  dba Ellie Mental Health - Beachwood

  • Mental Health Counselor
  • Beachwood, OH
  • NPI 1598445918
  Medicare reassignment Care Compare group NPD
• Lighthouse Mental Health and Wellness, LLC

  • Professional Counselor
  • Willoughby Hills, OH
  • NPI 1386500783
  NPD Authorized official
• Beech Brook

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cleveland, OH
  • NPI 1437399474
  NPD (past)

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1902102346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35010 CHARDON RD STE 103",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949011",
            "telephone_number": "440-597-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35010 CHARDON RD STE 103",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949011",
            "telephone_number": "440-597-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROD-GAUL",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "M.ED, LPCC-SUPV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0900128-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2871101",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268768",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Dicillo, R.N.
• Heather Dick
• Amy Dixon
• Craig Djukic
• Elizabeth Faye Dloniak
• Dr. Alan L. Palgut, Chiropractor, Inc. (Alan L. Palgut, D.C., Inc.)
• Dr. Mark a. Tozzi
• Eastside MRI Limited Partnership (Eastside Imaging Center)
• Katherine May Eberhart
• Diane Holly Eden, M.D.

• Professional Counselor in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.