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MRS. LISA MICHELLE CICERRELLA 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: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2026, Feb 29, 2016 (2 updates tracked since 2016).

About Mrs. Lisa Michelle Cicerrella Licdc NPPES

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

MRS. LISA MICHELLE CICERRELLA 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, maintains a secondary practice location in Lorain, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1073644373
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. LISA MICHELLE CICERRELLACredential: 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 UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ 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 Elliott

Secondary Practice Location 1

Location 16140 S BroadwayLorain, OH 44053-3821 · Phone (440) 204-4193

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Michelle Cicerrella 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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Cicerrella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riveon Mental Health And Recovery
2.6 mi
Primary Care
6140 S BROADWAY
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 70 clinicians in this Medicare group
NPI 1376234914 (440) 233-7232

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cicerrella's NPI number?

The NPI number for Lisa Cicerrella 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 Elliott.

Where is Lisa Cicerrella located?

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

What is Lisa Cicerrella's specialty?

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

Is Lisa Cicerrella enrolled in Medicare?

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

Which organization bills Medicare for Lisa Cicerrella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Cicerrella reassigns Medicare benefits to Riveon Mental Health And Recovery (Lorain, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Cicerrella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Cicerrella accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Lisa Cicerrella 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 Cicerrella was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.