MRS. LISA PETRARCA-GAMIDO LICDC
NPI 1861923807
Counselor - Addiction (Substance Use Disorder) in Stow, OH

Q: What is Lisa Petrarca-gamido's NPI number?

The NPI number for Lisa Petrarca-gamido is 1861923807. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Lisa Petrarca-gamido's specialty?

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

Active since March 22, 2017PECOS Enrolled

4161 BRIDGEWATER PKWY, STOW, OH 44224(330) 865-4644(330) 865-4641 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2025, Nov 10, 2021, Mar 22, 2017 (3 updates tracked since 2017).

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About Mrs. Lisa Petrarca-gamido Licdc NPPES

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

MRS. LISA PETRARCA-GAMIDO LICDC (NPI 1861923807) is an individual addiction (substance use disorder) provider in Stow, Ohio, licensed in Ohio (LICDC.161387) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861923807

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. LISA PETRARCA-GAMIDOCredential: LICDC

Location Address4161 BRIDGEWATER PKWYStow, OH 44224-6191

Mailing Address3581 Redwillow WayNorton, OH 44203-4544 · (303) 388-5757

Phone(330) 865-4644

Fax(330) 865-4641

Sole ProprietorYes

Enumeration DateMarch 22, 2017

Last NPPES UpdateMay 27, 20253 updates tracked since enumeration

NPPES CertifiedMay 27, 2025

✔ NPI 1861923807 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 · LICDC.161387

4161 BRIDGEWATER PKWY, Stow, OH 44224

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Molina Healthcare, 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 Petrarca-gamido Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Petrarca-gamido reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rakesh Ranjan M.D. & Assoc., Inc.

18 mi

Clinical Medical Laboratory

12395 MCCRACKEN RD STE A-UP
Garfield Heights, OH 44125

Reassigned Medicare billing, Ohio enrollment
56 clinicians in this Medicare group

NPI 1033143722 (216) 587-6727

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

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.

ERIN MARIE LONG LPC

Counselor (Mental Health)