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LISA M MCNICHOLAS CDCA
NPI 1104334929
Counselor - Addiction (Substance Use Disorder) in Youngstown, OH

Active since January 15, 2018
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509(330) 797-0070(330) 797-9146 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, Jun 18, 2019, Jan 15, 2018 (3 updates tracked since 2018).

About Lisa M Mcnicholas Cdca NPPES

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

LISA M MCNICHOLAS CDCA (NPI 1104334929) is an individual addiction (substance use disorder) provider in Youngstown, Ohio, licensed in Ohio (CDCA.169481) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1104334929
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLISA M MCNICHOLASCredential: CDCA
Location Address527 N MERIDIAN RDYoungstown, OH 44509-1227
Mailing Address527 N Meridian RdYoungstown, OH 44509-1227 · (330) 797-0070 · Fax (330) 797-9146
Phone(330) 797-0070
Fax(330) 797-9146
Sole ProprietorNo
Enumeration DateJanuary 15, 2018
Last NPPES UpdateJune 24, 20253 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1104334929 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 · CDCA.169481
527 N MERIDIAN RD, Youngstown, OH 44509
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Other Names 1

Former Name (1)Lisa Alexander

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVELYN C CLARK LPCC-S
Counselor (Professional)
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070
TYLER BOULTON
Community/Behavioral Health
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0074
ALEXIS S MCANDREW LPCC
Counselor (Professional)
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0074
ANTOINETTE FITZGERALD LPN
Licensed Practical Nurse
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070
KATALIN BACHA LPC
Counselor (Professional)
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0074
TARA L WARD RN
Registered Nurse
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070
LAUREN G HOLT LSW
Social Worker
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070
CHARIZMA M LEWIS LPN
Licensed Practical Nurse
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070

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 Mcnicholas's NPI number?

The NPI number for Lisa Mcnicholas is 1104334929. It was assigned to this individual provider in the NPPES registry on January 15, 2018. The provider is also known as Lisa Alexander.

Where is Lisa Mcnicholas located?

Lisa Mcnicholas practices at 527 N Meridian Rd, Youngstown, OH 44509. The listed phone number is (330) 797-0070.

What is Lisa Mcnicholas's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Mcnicholas was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.