Active NPI
Carly Battaglia, LPCC
- Counselor
- Medina, OH
National Provider Identifier
1154847457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E.2001712
- Practice address
- 4453 Luckystone Way
Medina, OH 44256-5533 - Phone
- (330) 271-0008
- NPI assigned
- Aug 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.2001712 | OH | |
| Counselor | 101Y00000X | E.2001712 | OH | Primary |
Addresses
Primary practice location
4453 Luckystone Way
Medina, OH 44256-5533
Mailing address
PO Box 13835
Fairlawn, OH 44334-3835
Phone (440) 532-9691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 6, 2024 through Jan 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.2001712 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1154847457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13835",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443343835",
"telephone_number": "440-532-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4453 LUCKYSTONE WAY",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565533",
"telephone_number": "330-271-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTAGLIA",
"first_name": "CARLY",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.2001712",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E.2001712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.