Active NPI
Carla M Faison, LPCC
- Mental Health Counselor
- Blue Ash, OH
National Provider Identifier
1295948479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E0002709S
- Practice address
- 10921 Reed Hartman Hwy
Ste 116
Blue Ash, OH 45242-2830 - Phone
- (513) 563-4442
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E0002709S | OH | Primary |
Addresses
Primary practice location
10921 Reed Hartman Hwy
Ste 116
Blue Ash, OH 45242-2830
Mailing address
10921 Reed Hartman Hwy
Ste 116
Blue Ash, OH 45242-2830
Phone (513) 563-4442
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11510987 | Other | OH | CAQH NUMBER |
| 1235246778 | Other | OH | HOPE CHRISTIAN CN INCNPI |
| E0002709S | Other | OH | MENTAL HEALTH COUNSELOR |
| 000000380132 | Other | OH | 000000380132 ANTHEM PIN |
| 7321149 | Other | OH | AETNA PIN NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0002709S | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Christian Counseling Services, Inc | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Blue Ash, OH
- NPI 1235246778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295948479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10921 REED HARTMAN HWY",
"address_2": "STE 116",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452422830",
"telephone_number": "513-563-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10921 REED HARTMAN HWY",
"address_2": "STE 116",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452422830",
"telephone_number": "513-563-4442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAISON",
"first_name": "CARLA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0002709S",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NUMBER",
"identifier": "11510987",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOPE CHRISTIAN CN INCNPI",
"identifier": "1235246778",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH COUNSELOR",
"identifier": "E0002709S",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "000000380132 ANTHEM PIN",
"identifier": "000000380132",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN NUMBER",
"identifier": "7321149",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.