| Lisa Marie Hoffert, LPC | |
|
143 Gougler Ave, Kent, OH 44240 | |
| (330) 677-4124 | |
| (330) 677-4134 |
| Full Name | Lisa Marie Hoffert |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 143 Gougler Ave, Kent, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356906069 | NPI | - | NPPES |
| LICDC.162343 | Other | OH | OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD |
| E.2203027-SUPV | Other | OH | STATE OF OHIO COUNSELOR, SOCIAL WORK & MARRIAGE & FAMILY THERAPIST BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162343 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | E.2203027-SUPV (Ohio) | Primary |
| Entity Name | Portage Path Community Mental Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225087802 PECOS PAC ID: 5597663344 Enrollment ID: O20031230000716 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Hoffert, LPC 143 Gougler Ave, Kent, OH 44240 Ph: (330) 677-4124 | Lisa Marie Hoffert, LPC 143 Gougler Ave, Kent, OH 44240 Ph: (330) 677-4124 |
Joan Teresse Lucci, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 E Erie St Ste 304, Kent, OH 44240 Phone: 330-835-7477 | |
Nahja Chesney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 | |
Mrs. Kelly Renee Tilley, MA, LPCC-S, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 Loop Rd, Kent, OH 44242 Phone: 330-672-4287 | |
Marina Jean Miceli, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 | |
Mrs. Rosa J Lawson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 Martinel Dr, Kent, OH 44240 Phone: 330-307-2295 | |
Mr. Joseph J Ziarko, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 | |
Sarah Robinson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 |