Charlotte Ann Fuchs, LPCC-S
Individual provider Active NPI Mental Health Counselor · Rayland, OH
NPI 1124794698 · NPPES record last updated Aug 17, 2021
Key facts
- NPI
- 1124794698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- E.1200002 (OH)
- Practice address
- 458 County Highway 3
Rayland, OH 43943-7853 - Phone
- (740) 317-1994
- NPI assigned
- Aug 17, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Autumn Treatment Center LLC
Practice addresses (Care Compare)
321 E Court St
Washington Court House, OH 43160-1401
Phone (740) 506-4113
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241209002798 | OH | Practitioner - Mental Health Counselor | 9638605025 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1200002 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autumn Treatment Center LLC | Current |
Accepting new patients | |
| Autumn Treatment Center LLC | Current |
Accepting new patients | |
| Access Behavioral LLC | Past | Accepting new patients |
Locations
485 Metro Pl S
Ste 101
Dublin, OH 43017
1176 E Home Rd
Springfield, OH 45503
Phone (614) 943-3839
321 E Court St
Wshngtn Ct Hs, OH 43160
Phone (740) 335-1233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.1200002 | OH | Yes |
Addresses
Primary practice location
458 County Highway 3
Rayland, OH 43943-7853
Mailing address
458 County Highway 3
Rayland, OH 43943-7853
Phone (740) 317-1994
Other providers in Rayland, OH
- Frankie Lynn Allen
- Clark Besece
- Lucas Paul Fabry
- Autumn Francis
- Ericca Lynnmarie Fulmer
- Shawnna Hollie Merrill
- Rayland Volunteer Fire Department
- Tana Kay Renner
- Gwendolyn Roberts
All providers in Rayland, OH · Mental Health Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.