Active NPI
Lisa Marie Poiry, LPC
- Professional Counselor
- Oregon, OH
National Provider Identifier
1902616501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C7779
- Practice address
- 445 Earlwood Ave Ste 200
Oregon, OH 43616-2744 - Phone
- (419) 704-2206
- NPI assigned
- Jan 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C7779 | OH | Primary |
Addresses
Primary practice location
445 Earlwood Ave Ste 200
Oregon, OH 43616-2744
Mailing address
29885 Bradner Rd
Northwood, OH 43619-2438
Phone (419) 704-2206
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7779 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1902616501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29885 BRADNER RD",
"city": "NORTHWOOD",
"state": "OH",
"postal_code": "436192438",
"telephone_number": "419-704-2206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 EARLWOOD AVE STE 200",
"city": "OREGON",
"state": "OH",
"postal_code": "436162744",
"telephone_number": "419-704-2206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POIRY",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-07",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C7779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.