Individual provider Active NPI

Christy Danzuso, PCC-S

  • Professional Counselor
  • Mount Vernon, OH
National Provider Identifier
1194853572
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E500045 Issued in OH
Practice address
111 S Mulberry St
Suite a
Mount Vernon, OH 43050-3307
Phone
(740) 393-6001
Fax
(740) 393-6040
NPI assigned
Feb 28, 2007
Last updated
Oct 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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 E500045 OH Primary

Addresses

Primary practice location

111 S Mulberry St
Suite a
Mount Vernon, OH 43050-3307

Mailing address

111 S Mulberry St
Suite a
Mount Vernon, OH 43050-3307
Phone (740) 393-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E500045OHMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1194853572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S MULBERRY ST",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503307",
            "telephone_number": "740-393-6001",
            "fax_number": "740-393-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MULBERRY ST",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503307",
            "telephone_number": "740-393-6001",
            "fax_number": "740-393-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANZUSO",
        "first_name": "CHRISTY",
        "credential": "PCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E500045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.