Monica Baucher, LPCC-SUPV

Individual provider Active NPI Professional Counselor · Greenfield, OH

NPI 1407214158 · NPPES record last updated Oct 28, 2020

Key facts

NPI
1407214158
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
E.1901419-SUPV (OH)
Practice address
134 Jefferson St
Greenfield, OH 45123-1365
Phone
(937) 981-7701
Fax
(937) 393-2054
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

343 Meadow LN
Circleville, OH 43113-1436

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
C1400618OHMDMental Health Counselor
E.1901419-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
FRS Counseling Past
since Aug 14, 2022
Accepting new patients
Circleville Community Counseling, LLC Mental Health Past Accepting new patients
FRS Counseling Past
since Mar 6, 2018
Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/frscounseling/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C1400618 OH
Professional Counselor 101YP2500X E.1901419-SUPV OH Yes

Addresses

Primary practice location

134 Jefferson St
Greenfield, OH 45123-1365

Mailing address

134 Jefferson St
Greenfield, OH 45123-1365
Phone (937) 981-7701

Other providers in Greenfield, OH

All providers in Greenfield, OH · Professional Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.