Charles Edward Conti Jr., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C1200571 Issued in OH

Practice address

245 Neal Avenue
Mt Gilead, OH 43338

Phone

(419) 946-6734

Fax

(419) 946-6952

NPI assigned

Jul 19, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1013360668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 ALUM GREEK DRIVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071708",
            "telephone_number": "614-445-8131",
            "fax_number": "614-827-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 NEAL AVENUE",
            "city": "MT GILEAD",
            "state": "OH",
            "postal_code": "43338",
            "telephone_number": "419-946-6734",
            "fax_number": "419-946-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTI",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C1200571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Joseph Chevlen, DO
• Loren Coleman-Cronenwett
• Complete Eye Care, LLC
• Dodie Conkel, LSW, CDCA
• Pam Conrad
• Jazmine Cornell
• Michael Dewayne Cox, RPH, MBA
• Peggy Marie Craig, RN
• Mindy Crowe, CDCA
• Samantha Jean Davidson, LSW

• Professional Counselor in Mt Gilead, OH
• Providers in Mt Gilead, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.