Active NPI
Charles W Congrove, LPCC
- Mental Health Counselor
- Chillicothe, OH
National Provider Identifier
1396711271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E-0003054
- Practice address
- 4449 State Route 159
Pob 6179
Chillicothe, OH 45601-8620 - Phone
- (740) 773-4366
- Fax
- (740) 773-8322
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 | E-0003054 | OH | Primary |
Addresses
Primary practice location
4449 State Route 159
Pob 6179
Chillicothe, OH 45601-8620
Mailing address
4449 State Route 159
Pob 6179
Chillicothe, OH 45601-8620
Phone (740) 773-4366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000305807 | Other | OH | ANTHEM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-0003054 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1396711271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4449 STATE ROUTE 159",
"address_2": "POB 6179",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018620",
"telephone_number": "740-773-4366",
"fax_number": "740-773-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4449 STATE ROUTE 159",
"address_2": "POB 6179",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018620",
"telephone_number": "740-773-4366",
"fax_number": "740-773-8322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONGROVE",
"first_name": "CHARLES",
"middle_name": "W",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E-0003054",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000305807",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.