MRS. LISA SMITH LICDC SAP LPC NPI 1255710570

NPI Information

NPI: 1255710570
Provider Name: MRS. LISA SMITH, LICDC, SAP, LPC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4100 FRANKLIN BLVD
CLEVELAND, OH
ZIP 44113
Phone: (216) 623-0959
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MRS. Lisa Smith, LICDC, SAP, LPC is an addiction (substance use disorder) counselor in Cleveland, OH. MRS. Lisa Smith, LICDC, SAP, LPC NPI is 1255710570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4100 FRANKLIN BLVD
CLEVELAND, OH
ZIP 44113-842
Phone: (216) 623-0959

The enumeration date for this NPI number is 5/19/2015 and was last updated on 11/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	111024	OHIO	Yes
2	101YP2500X	Counselor	Professional	C.2003026	OHIO	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
4	405300000X	Prevention Professional		OCPC.1222	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0206488	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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