Individual provider Active NPI

Christine M. Nowak, PCC

  • Professional Counselor
  • Middlefield, OH
National Provider Identifier
1124277306
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0500327 Issued in OH
Practice address
15985 East High St.
Suite 206
Middlefield, OH 44062
Phone
(440) 632-0332
Fax
(440) 477-2656
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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.0500327 OH Primary

Addresses

Primary practice location

15985 East High St.
Suite 206
Middlefield, OH 44062

Mailing address

15985 East High St.
Suite 206
Middlefield, OH 44062
Phone (440) 632-0332

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250502003088 OH Practitioner - Mental Health Counselor 5991222929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15065 Kinsman Rd
Suite 8
Middlefield, OH 44062-9494
Phone (440) 632-5814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.0500327OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christine M Nowak Professional CurrentSince Jan 1, 2025 Accepting new patients

Locations

15065 Kinsman Rd
Ste 8
Middlefield, OH 44062
Phone (216) 577-9485

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": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1124277306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15985 EAST HIGH ST.",
            "address_2": "SUITE 206",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "44062",
            "telephone_number": "440-632-0332",
            "fax_number": "440-477-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15985 EAST HIGH ST.",
            "address_2": "SUITE 206",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "44062",
            "telephone_number": "440-632-0332",
            "fax_number": "440-477-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "CHRISTINE",
        "middle_name": "M.",
        "name_prefix": "Miss",
        "credential": "PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0500327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlefield, OH

Sources for this page

Verify at the official NPI Registry.