Active NPI
Darleen Kotas
- Mental Health Counselor
- Austintown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.2404022
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C.1800952-TRNE | Other | OH | COUNSELOR, 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1901804 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.2404022 | OH | MD | Mental Health Counselor |
| C.1800952-TRNE | OH | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Action Agency of Columbiana County Inc | Current | Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Community Action Agency of Columbiana County Inc | Current | Accepting new patients | |
| Family Recovery Center | Community/Behavioral Health | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Lisbon, OH
- NPI 1821041401
-
- Federally Qualified Health Center (FQHC)
- Hanoverton, OH
- NPI 1225914112
-
- Federally Qualified Health Center (FQHC)
- Salineville, OH
- NPI 1508114893
-
- Federally Qualified Health Center (FQHC)
- Salem, OH
- NPI 1356064414
-
- Community/Behavioral Health Agency
- Lisbon, OH
- NPI 1740548155
-
- Community/Behavioral Health Agency
- Lisbon, OH
- NPI 1821053042
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.