Individual provider Active NPI

Denise Deluca, LPCC

  • Professional Counselor
  • Woodmere, OH
National Provider Identifier
1942733993
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1901152 Issued in OH
Practice address
28601 Chagrin Blvd Ste 200
Woodmere, OH 44122-4556
Phone
(440) 409-3304
NPI assigned
Apr 6, 2017
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1901152 OH Primary

Addresses

Primary practice location

28601 Chagrin Blvd Ste 200
Woodmere, OH 44122-4556

Mailing address

33009 Allenbury Dr
Solon, OH 44139-6000
Phone (440) 409-3304

Other identifiers 1

IdentifierTypeStateIssuer
0347591MedicaidOH

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
I20240430003461 OH Practitioner - Mental Health Counselor 7810337441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Auburn Dr
Suite 200
Beachwood, OH 44122-4328
Phone (440) 291-5467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1901152OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Wellness, LLC Professional CurrentSince Feb 13, 2024 Accepting new patients

Locations

2000 Auburn Dr
Ste 200
Cleveland, OH 44122
Phone (216) 378-7633

28601 Chagrin Blvd
Ste 200
Woodmere, OH 44122
Phone (440) 291-5467

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1942733993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33009 ALLENBURY DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441396000",
            "telephone_number": "440-409-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28601 CHAGRIN BLVD STE 200",
            "city": "WOODMERE",
            "state": "OH",
            "postal_code": "441224556",
            "telephone_number": "440-409-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "DENISE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1901152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347591",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, OH

Sources for this page

Verify at the official NPI Registry.