Individual provider Active NPI

Darleen Kotas

  • Mental Health Counselor
  • Austintown, OH
National Provider Identifier
1144715574
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2404022 Issued in OH
Practice address
5760 Patriot Blvd
Austintown, OH 44515-1170
Phone
(330) 953-0243
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C.1901804 OH
Community/Behavioral Health Agency 251S00000X C.1800952-TRNE OH
Mental Health Counselor 101YM0800X E.2404022 OH Primary

Addresses

Primary practice location

5760 Patriot Blvd
Austintown, OH 44515-1170

Mailing address

964 N Market St
Lisbon, OH 44432-9363
Phone (330) 424-1468

Other practice location 1

964 N Market St
Lisbon, OH 44432-9363
Phone (330) 424-1468

Other identifiers 1

IdentifierTypeStateIssuer
C.1800952-TRNEOtherOHCOUNSELOR, SOCIAL WORKER & MFT BOARD

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
I20240215003293 OH Practitioner - Mental Health Counselor 1456795681 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1901804OHMDAddiction (Substance Use Disorder) Counselor
E.2404022OHMDMental Health Counselor
C.1800952-TRNEOHMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Agency of Columbiana County Inc CurrentSince Jan 1, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince May 23, 2025 Accepting new patients
Community Action Agency of Columbiana County Inc CurrentSince Jan 1, 2024 Accepting new patients
Family Recovery Center Community/Behavioral Health PastSince Apr 1, 2016 Accepting new patients
Family Recovery Center Community/Behavioral Health Past Accepting new patients
Community Action Agency of Columbiana County Inc Past Accepting new patients
Community Action Agency of Columbiana County, Inc Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

16480 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-7777

16494 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-7870

7880 Lincole Pl
Lisbon, OH 44432
Phone (330) 424-5686

2376 Southeast Blvd
Salem, OH 44460
Phone (330) 337-7255

103 W Main St
Salineville, OH 43945
Phone (330) 679-2303

Interoperability endpoints

  • Direct secure messaging: darleen.kotas.p1@direct.sandy.nextgenshare.com

Organizations & group practices 7

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1144715574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 N MARKET ST",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444329363",
            "telephone_number": "330-424-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 PATRIOT BLVD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151170",
            "telephone_number": "330-953-0243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "964 N Market St",
            "address_purpose": "LOCATION",
            "city": "Lisbon",
            "state": "OH",
            "postal_code": "444329363",
            "country_code": "US",
            "telephone_number": "330-424-1468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTAS",
        "first_name": "DARLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "C.1901804",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "C.1800952-TRNE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2404022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR, SOCIAL WORKER & MFT BOARD",
            "identifier": "C.1800952-TRNE",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

Verify at the official NPI Registry.