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MRS. LISA MICHELLE ELLIOTT LICDC
NPI 1073644373
Counselor - Addiction (Substance Use Disorder) in Lorain, OH

Active since March 08, 2007PECOS Enrolled
305 W 20TH ST, LORAIN, OH 44052(409) 894-9714(440) 246-0189 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Lisa Michelle Elliott Licdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA MICHELLE ELLIOTT LICDC (NPI 1073644373) is an individual addiction (substance use disorder) provider in Lorain, Ohio, licensed in Ohio (131144) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1073644373
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. LISA MICHELLE ELLIOTTCredential: LICDC
Location Address305 W 20TH STLorain, OH 44052
Mailing Address305 W 20th StLorain, OH 44052-3726 · (440) 989-4971 · Fax (440) 246-0189
Phone(409) 894-9714
Fax(440) 246-0189
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMarch 8, 2007
Last NPPES UpdateJune 8, 2018
✔ NPI 1073644373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 131144
305 W 20TH ST, Lorain, OH 44052
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Other Names 1

Former Name (1)Ms. Lisa Michelle Cicerrella Professional Equivla

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Michelle Elliott Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890263180
PECOS Enrollment IDI20260505003127
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Elliott's NPI number?

The NPI number for Lisa Elliott is 1073644373. It was assigned to this individual provider in the NPPES registry on March 8, 2007. The provider is also known as Ms. Lisa Michelle Cicerrella Professional Equivla.

Where is Lisa Elliott located?

Lisa Elliott practices at 305 W 20th St, Lorain, OH 44052. The listed phone number is (409) 894-9714.

What is Lisa Elliott's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Lisa Elliott enrolled in Medicare?

Yes. Lisa Elliott is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Elliott accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Lisa Elliott as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Elliott was last updated on June 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.