Lisa Marie Hoffert, LPC | |
143 Gougler Ave, Kent, OH 44240 | |
(330) 677-4124 | |
(330) 677-4134 |
Full Name | Lisa Marie Hoffert |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 143 Gougler Ave, Kent, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356906069 | NPI | - | NPPES |
LICDC.162343 | Other | OH | OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD |
E.2203027-SUPV | Other | OH | STATE OF OHIO COUNSELOR, SOCIAL WORK & MARRIAGE & FAMILY THERAPIST BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162343 (Ohio) | Secondary |
101YM0800X | Counselor - Mental Health | E.2203027-SUPV (Ohio) | Primary |
Entity Name | Portage Path Community Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225087802 PECOS PAC ID: 5597663344 Enrollment ID: O20031230000716 |
Mailing Address | Practice Location Address |
---|---|
Lisa Marie Hoffert, LPC 143 Gougler Ave, Kent, OH 44240 Ph: (330) 677-4124 | Lisa Marie Hoffert, LPC 143 Gougler Ave, Kent, OH 44240 Ph: (330) 677-4124 |
Joan Teresse Lucci, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 E Erie St Ste 304, Kent, OH 44240 Phone: 330-835-7477 | |
Nahja Chesney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 | |
Ms. Mina Sakamoto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5982 Rhodes Rd, Kent, OH 44240 Phone: 330-673-1347 Fax: 330-678-3677 | |
Marina Jean Miceli, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 | |
Mrs. Rosa J Lawson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 Martinel Dr, Kent, OH 44240 Phone: 330-307-2295 | |
Mr. Joseph J Ziarko, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 | |
Sarah Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 |