Active NPI 1205107612 Individual Practitioner Female Practitioner

Ann Marie Petricca

Counselor - Professional • Willoughby, OH

Professional Overview & Biography Verified Profile Summary

Ann Petricca is a registered healthcare professional specializing in Counselor - Professional in Willoughby, OH. Practice services are available at 36 PUBLIC SQ STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

36 Public Sq Ste 105

Willoughby, OH 440947864

Telephone 4404884081

Associated Practice Facility / Clinic

🏢 Fuentes Counseling Services Facility NPI 1659712859

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Willoughby, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.0 Yrs

State Avg: 15.9 Yrs

Regional Practice Density

20 Specialists

Practicing in Willoughby, OH (6923 Statewide)

Telehealth Adoption Rate

5.0% 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: 2024-01-31

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.1100475

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OH C.1100475

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners

Debra Fuentes , LPCC-SUPV, LICDC-CS

Counselor - Professional

NPI 1740550573

LPCCSUPV, LICDCCS

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location January 31, 2024

Registered at 36 PUBLIC SQ STE 105, WILLOUGHBY, OH 440947864 (Tel: 4404884081)

📍

Updated Business Mailing Address January 31, 2024

Registered at 36 PUBLIC SQ STE 105, WILLOUGHBY, OH 440947864 (Tel: 4048840814)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2024

Counselor (License #E.1100475 in OH)

✅

NPI Profile Active February 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 01, 2012

Registered at 3500 CARNEGIE AVE, CLEVELAND, OH 441152641 (Tel: 2164067311)

📍

Updated Business Mailing Address February 01, 2012

Registered at 3500 CARNEGIE AVE, CLEVELAND, OH 441152641 (Tel: 2164067311)

👤

Provider Name / Credentials Updated February 01, 2012

Recorded as ANN PETRICCA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2012

Counselor (License #C.1100475-TRNE in OH)

🟢

Initial NPI Registration & Enumeration January 16, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1205107612

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 16, 2012

Last Update: January 31, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

36 Public Sq Ste 105

Willoughby, OH 440947864

Phone: 4048840814

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.