Chartyise Fagan, M.A., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2606106 Issued in OH

Practice address

5726 Southwyck Blvd
Toledo, OH 43614-1559

Phone

(419) 705-8597

NPI assigned

Aug 29, 2023

Last updated

Jun 18, 2026By the provider in NPPES

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  OH

  Medicare reassignment NPD
• Inspiring Wellness LLC

  • Clinical Social Worker
  • Maumee, OH
  • NPI 1760171896
  Medicare reassignment
• Midwest Detox Center LLC

  dba Ohio Detox Center

  • Substance Abuse Rehabilitation Facility
  • Maumee, OH
  • NPI 1003337734
  NPD (past)
• Midwest Detox Center LLC

  dba Ohio Detox Center

  • Substance Abuse Rehabilitation Facility
  • Maumee, OH
  • NPI 1033608195
  NPD (past)
• Midwest Recovery Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toledo, OH
  • NPI 1407326366
  NPD (past)
• Midwest Recovery Center LLC

  dba Ohio Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toledo, OH
  • NPI 1598242281
  NPD (past)
• Valor Recovery Center of Youngstown LLC

  dba Midwest Center of Youngstown

  • Substance Abuse Rehabilitation Facility
  • Austintown, OH
  • NPI 1366912933
  NPD (past)
• Valor Recovery Center of Youngstown LLC

  dba TruHealing Cincinnati

  • Substance Abuse Rehabilitation Facility
  • Cincinnati, OH
  • NPI 1598530701
  NPD (past)

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1114702081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 FERNWOOD AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436048032",
            "telephone_number": "419-343-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141559",
            "telephone_number": "419-705-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "CHARTYISE",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-29",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2606106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Fackler
• Eveon Fadell
• Shabrionna Fadzl
• Jane Lily Faehnle, P.T.
• Anthonyesha Fagan
• Devonne Fagan
• Krista Fager
• Kimberly Fagg
• Caro R Fahle, MNT
• Charles Robert Fahncke, D.D.S., M.S.

• Professional Counselor in Toledo, OH
• Providers in Toledo, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.