Paul R Banta, LPC
Individual provider Active NPI Professional Counselor · Whitehall, OH
NPI 1396595054 · NPPES record last updated Nov 19, 2025
Key facts
- NPI
- 1396595054
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C.2507644 (OH)
- Practice address
- 4653 E Main St
Whitehall, OH 43213-3298 - Phone
- (000) 000-0000
- NPI assigned
- Mar 25, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2507644 | OH | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.2507644 | OH | Yes |
Addresses
Primary practice location
4653 E Main St
Whitehall, OH 43213-3298
Mailing address
4653 E Main St
Whitehall, OH 43213-3298
Other providers in Whitehall, OH
- Bran-Den Bailey
- Conner Louis Bailey
- Tyler Baker
- Lalethia Ballard
- Tivona Lea Banks
- Angela Barber
- Anissa Rosann Barnett
- Siera Marie Barns
- Jamie Barrett
- Alaina Barton
All providers in Whitehall, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.