Individual provider Active NPI

Laura L. Dekle, LPCC-S, LICDC-CS

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1245652429
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E3628 Issued in OH
Practice address
1170 Old Henderson Rd Ste 207
Columbus, OH 43220-3623
Phone
(614) 348-8774
Fax
(614) 846-6521
NPI assigned
Jan 7, 2014
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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 131228 OH
Professional Counselor 101YP2500X E3628 OH Primary

Addresses

Primary practice location

1170 Old Henderson Rd Ste 207
Columbus, OH 43220-3623

Mailing address

1170 Old Henderson Rd Ste 207
Columbus, OH 43220-3623
Phone (614) 348-8774

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
I20240925004415 OH Practitioner - Mental Health Counselor 9931640232 Practice locations: Columbus, OH

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1170 Old Henderson Rd
Suite 207
Columbus, OH 43220-3623
Phone (614) 348-8774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
131228OHMDAddiction (Substance Use Disorder) Counselor
E3628OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Laura L. Dekle, LPCC-S, Licdc-CS, LLC Addiction (Substance Use Disorder) CurrentSince Jan 21, 2024 Accepting new patients

Locations

1170 Old Henderson Rd
Ste 207
Columbus, OH 43220
Phone (614) 321-9091

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1245652429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 OLD HENDERSON RD STE 207",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203623",
            "telephone_number": "614-348-8774",
            "fax_number": "614-846-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 OLD HENDERSON RD STE 207",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203623",
            "telephone_number": "614-348-8774",
            "fax_number": "614-846-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKLE",
        "first_name": "LAURA",
        "middle_name": "L.",
        "credential": "LPCC-S, LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "131228",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E3628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.