Individual provider Active NPI

Christina J Soliday, LPCC

  • Mental Health Counselor
  • Delaware, OH
National Provider Identifier
1457898546
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E1200558 Issued in OH
Practice address
39 W Winter St
Delaware, OH 43015-1934
Phone
(740) 331-3087
Fax
(740) 212-8454
NPI assigned
Jan 26, 2017
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 101YP2500X OH
Mental Health Counselor 101YM0800X E1200558 OH Primary

Addresses

Primary practice location

39 W Winter St
Delaware, OH 43015-1934

Mailing address

39 W Winter St
Delaware, OH 43015-1934
Phone (740) 331-3087

Other practice location 1

88 N Sandusky St
Delaware, OH 43015-1756
Phone (740) 816-7679

Other identifiers 1

IdentifierTypeStateIssuer
0250403MedicaidOH

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

LicenseStateTypeSpecialty
E1200558OHMDMental Health Counselor
101YP2500XOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maryhaven Inc. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1457898546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 W WINTER ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151934",
            "telephone_number": "740-331-3087",
            "fax_number": "740-212-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W WINTER ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151934",
            "telephone_number": "740-331-3087",
            "fax_number": "740-212-8454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 N Sandusky St",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430151756",
            "country_code": "US",
            "telephone_number": "740-816-7679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLIDAY",
        "first_name": "CHRISTINA",
        "middle_name": "J",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "101YP2500X",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1200558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250403",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.