Individual provider Active NPI

Olivia Jane Baumann, LPC, M.ED.

  • Professional Counselor
  • Independence, OH
National Provider Identifier
1215765797
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2406191 Issued in OH
Practice address
6133 Rockside Rd Ste 403
Independence, OH 44131-2244
Phone
(216) 455-5571
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 C.2406191 OH Primary

Addresses

Primary practice location

6133 Rockside Rd Ste 403
Independence, OH 44131-2244

Mailing address

450 Dodge St
Kent, OH 44240-3708
Phone (814) 860-6093

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
C.2406191OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lamplight Counseling Services LLC CurrentSince Jul 28, 2024 Accepting new patients

Locations

6133 Rockside Rd
Ste 403
Independence, OH 44131
Phone (216) 455-5571

Organizations & group practices 1

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": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1215765797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 DODGE ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442403708",
            "telephone_number": "814-860-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 ROCKSIDE RD STE 403",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312244",
            "telephone_number": "216-455-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMANN",
        "first_name": "OLIVIA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LPC, M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2406191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.