Carla Eugene, LPCC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.1700236-SUPV Issued in OH

Practice address

1255 N Hamilton Rd # 139
Gahanna, OH 43230-6785

Phone

(614) 723-9193

NPI assigned

Nov 5, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Carla Lemon Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Beyond the Surface Counseling

  • Mental Health Counselor
  • Commerce City, CO
  • NPI 1073359196
  NPD Authorized official

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1255737128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 LILYPARK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432195544",
            "telephone_number": "330-705-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 N HAMILTON RD # 139",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306785",
            "telephone_number": "614-723-9193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Fishinger Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432212108",
            "country_code": "US",
            "telephone_number": "614-457-7876",
            "fax_number": "614-457-1040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUGENE",
        "first_name": "CARLA",
        "name_prefix": "Mrs.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1000239",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1700236-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://beyondthesurfacecounseling.clientsecure.me",
            "affiliation": "N",
            "address_1": "1255 N Hamilton Rd # 139",
            "city": "Gahanna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432306785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "LEMON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.