Carolyn Gwen Buck, LPCC, LICDIC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E2233 Issued in OH

Practice address

305 15TH St NE
Canton, OH 44714-2573

Phone

(330) 454-8700

NPI assigned

Nov 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Interoperability endpoints

• Direct secure messaging: carolyn.buck@direct.aultman.org

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

• Ohio Physician Professional Corporation

  dba Surgical Associates of Canton

  • Hospitalist Physician
  • Canton, OH
  • NPI 1417016973
  NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033288485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 MCDOWELL ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213133",
            "telephone_number": "330-499-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 15TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142573",
            "telephone_number": "330-454-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "CAROLYN",
        "middle_name": "GWEN",
        "name_prefix": "Mrs.",
        "credential": "LPCC, LICDIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E2233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Buch, CRNA
• Irionah Buchanan
• Shetoria Buchanan, LPN
• Victoria L Bucher, PTA
• James Buchino, M.D.
• Buckeye Behavioral Health LLC
• Buckeye Family Service LLC
• Buckeye Forest at Canton LLC (Gardens at Belden Village)
• Ashley Buckeye, CNP
• John Aaron Buckner

• Mental Health Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.