Individual provider Active NPI

Michael James Gacnik, LPCC

  • Counselor
  • Groveport, OH
National Provider Identifier
1245743939
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.1800668 Issued in OH
Practice address
649 Main St Ste C
Groveport, OH 43125-1420
Phone
(614) 916-7005
Fax
(614) 916-3055
NPI assigned
Nov 16, 2017
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.1800668 OH Primary
Mental Health Counselor 101YM0800X C0077084 OH

Addresses

Primary practice location

649 Main St Ste C
Groveport, OH 43125-1420

Mailing address

649 Main St Ste C
Groveport, OH 43125-1420
Phone (161) 491-6700

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
I20240606002188 OH Practitioner - Mental Health Counselor 9133661093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

649 Main St
Groveport, OH 43125-1420
Phone (614) 916-7005

649 Main St C
Groveport, OH 43125-1420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0077084OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reframing LLC CurrentSince Nov 18, 2025 Accepting new patients
Preparing for Tomorrow Counseling Services, LLC Mental Health CurrentSince Jan 10, 2020 Accepting new patients

Locations

649 Main St
Groveport, OH 43125
Phone (614) 916-7005

649 Main St
Ste C
Groveport, OH 43125
Phone (380) 200-1753

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, 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": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1245743939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 MAIN ST STE C",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251420",
            "telephone_number": "161-491-6700",
            "fax_number": "614-916-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 MAIN ST STE C",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251420",
            "telephone_number": "614-916-7005",
            "fax_number": "614-916-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACNIK",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-16",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.1800668",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0077084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveport, OH

Sources for this page

Verify at the official NPI Registry.