Individual provider Active NPI

Christopher Pinkelman, LPCC, LICDC

  • Mental Health Counselor
  • Xenia, OH
National Provider Identifier
1215027941
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0002297 Issued in OH
Practice address
452 W Market St
Xenia, OH 45385-2815
Phone
(937) 376-8700
Fax
(937) 376-8725
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 991551 OH
Mental Health Counselor 101YM0800X E0002297 OH Primary

Addresses

Primary practice location

452 W Market St
Xenia, OH 45385-2815

Mailing address

452 W Market St
Xenia, OH 45385-2815
Phone (937) 376-8700

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
I20240202002840 OH Practitioner - Mental Health Counselor 9830197490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TCN Behavioral Health Services, Inc.Group PAC ID 8224011135, 20 clinicians

Practice addresses (Care Compare)

452 W Market St
Xenia, OH 45385-2815
Phone (937) 376-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991551OHMDAddiction (Substance Use Disorder) Counselor
E0002297OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TCN Behavioral Health Services, Inc. Addiction (Substance Use Disorder) CurrentSince Jan 18, 2024 Accepting new patients
TCN Behavioral Health Services, Inc PastSince Nov 24, 2024 Accepting new patients

Locations

1825 Commerce Center Blvd
Fairborn, OH 45324
Phone (937) 376-8755

3085 Woodman Dr
Ste 300
Kettering, OH 45420

452 W Market St
Xenia, OH 45385
Phone (937) 376-8744

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/tcn/r4/

Organizations & group practices 2

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1215027941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 W MARKET ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852815",
            "telephone_number": "937-376-8700",
            "fax_number": "937-376-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 W MARKET ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852815",
            "telephone_number": "937-376-8700",
            "fax_number": "937-376-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKELMAN",
        "first_name": "CHRISTOPHER",
        "credential": "LPCC, LICDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "991551",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0002297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.