Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578121372 Individual Practitioner Female Practitioner

Alyssa Helene Hertelendy , CT

Counselor • Lorain, OH

Professional Overview & Biography Verified Profile Summary

Alyssa Hertelendy, CT is a registered healthcare professional specializing in Counselor in Lorain, OH. Practice services are available at 2115 W PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2115 W Park Dr

Lorain, OH 440531138

Telephone 4409894900
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Lorain, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
26 Specialists

Practicing in Lorain, OH (4163 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-29
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH C.2304751-TR

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH CDCA.172984

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0013840 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kristina Hamilton , RN

Registered Nurse

NPI 1013123041

Registered Nurse

Emily Winfield , OCPSA

Prevention Professional

NPI 1023894961
Rachel Rupert , LPN

Licensed Practical Nurse

NPI 1033818042

Licensed Practical Nurse

Kennedy Wilbert , CYPS, OCPSA

Prevention Professional

NPI 1033995972
Rebecca Mangol , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1043883929

Registered Nurse

Paula Minch , RN

Registered Nurse

NPI 1063090470

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
👤
Provider Name / Credentials Updated February 29, 2024

Recorded as ALYSSA HERTELENDY, CT

📍
Updated Practice Location September 20, 2023

Registered at 2115 W PARK DR, LORAIN, OH 440531138 (Tel: 4409894900)

📍
Updated Business Mailing Address September 20, 2023

Registered at 2115 W PARK DR, LORAIN, OH 440531138 (Tel: 4409894900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2023

Counselor (License #CDCA.172984 in OH)

📍
Updated Practice Location April 06, 2023

Registered at 6140 S BROADWAY, LORAIN, OH 440533891 (Tel: 4402337232)

📍
Updated Business Mailing Address April 06, 2023

Registered at 6140 S BROADWAY, LORAIN, OH 440533891 (Tel: 4402337232)

👤
Provider Name / Credentials Updated April 06, 2023

Recorded as ALYSSA KORICKE, CT

NPI Profile Active June 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2019

Registered at 20800 WESTGATE MALL, CLEVELAND, OH 441261323 (Tel: 4403334949)

📍
Updated Business Mailing Address June 05, 2019

Registered at 20800 WESTGATE MALL, CLEVELAND, OH 441261323 (Tel: 4403334949)

👤
Provider Name / Credentials Updated June 05, 2019

Recorded as ALYSSA KORICKE, CDCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2019

Counselor (License #169726 in OH)

🟢
Initial NPI Registration & Enumeration June 05, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578121372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2019
Last Update: February 29, 2024
Sole Proprietor: Yes

Mailing Address

2115 W Park Dr

Lorain, OH 440531138

Phone: 4409894900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.