LISA A LAVELLE M.ED., LSW, LICDC-CS
NPI 1194055467
Counselor - Addiction (Substance Use Disorder) in Columbus, OH

Active since January 07, 2010
4998 W BROAD ST STE 104, COLUMBUS, OH 43228(614) 754-8051(614) 319-6123 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 17, 2022, Jan 15, 2017 (2 updates tracked since 2017).

About Lisa A Lavelle M.ed., Lsw, Licdc-cs NPPES

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

LISA A LAVELLE M.ED., LSW, LICDC-CS (NPI 1194055467) is an individual addiction (substance use disorder) provider in Columbus, Ohio, licensed in Ohio (LICDC # 933526) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1194055467
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLISA A LAVELLECredential: M.ED., LSW, LICDC-CS
Location Address4998 W BROAD ST STE 104Columbus, OH 43228-1647
Mailing Address275 Powhatan AveColumbus, OH 43204-1916 · (614) 323-2743
Fax(614) 319-6123
Sole ProprietorYes
Enumeration DateJanuary 7, 2010
Last NPPES UpdateJanuary 17, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2022
NPI 1194055467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · LICDC # 933526
Also ListedSocial WorkerTaxonomy 104100000X · License LSW # S.0011653 (OH)
4998 W BROAD ST STE 104, Columbus, OH 43228

Accepted Insurance

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.

Case Manager/Care Coordinator
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST STE 104
COLUMBUS, OH 43228

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194055467, enumerated as an "individual" on January 07, 2010.

The provider is located at 4998 W BROAD ST STE 104 COLUMBUS, OH 43228 and the phone number is (614) 754-8051.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: MedMutual, Oscar Health Insurance and Oscar. Please consult your insurance carrier or call the provider to verify.