Individual provider Active NPI

Chuckeia Folley, LPCC-S

  • Professional Counselor
  • Dayton, OH
National Provider Identifier
1003341744
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1901099 Issued in OH
Practice address
118 W 1St St # 308
Dayton, OH 45402-1150
Phone
(374) 433-7659
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1901099 OH Primary

Addresses

Primary practice location

118 W 1St St # 308
Dayton, OH 45402-1150

Mailing address

118 W 1St St Ste 308
Dayton, OH 45402-1150
Phone (937) 367-4614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.1901099OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Therapeutics LLC CurrentSince Oct 22, 2023 Accepting new patients

Locations

118 W 1st St
Ste 308
Dayton, OH 45402
Phone (937) 319-4448

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1003341744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W 1ST ST STE 308",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021150",
            "telephone_number": "937-367-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W 1ST ST # 308",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021150",
            "telephone_number": "374-433-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLLEY",
        "first_name": "CHUCKEIA",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1901099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.