Individual provider Active NPI

Deana Judith Couch, CRC, LPCC-S

  • Professional Counselor
  • Weston, OH
National Provider Identifier
1487999736
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-2001973-SUPV Issued in OH
Practice address
13172 Main St # 55
Weston, OH 43569-9990
Phone
(419) 806-5688
Fax
(419) 754-2609
NPI assigned
Nov 27, 2012
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401223497 MI
Professional Counselor 101YP2500X E-2001973-SUPV OH Primary
Rehabilitation Counselor 225C00000X 00094728 NU

Addresses

Primary practice location

13172 Main St # 55
Weston, OH 43569-9990

Mailing address

PO Box 55
Weston, OH 43569-0055
Phone (419) 936-7744

Other practice location 1

882 Oakman Blvd Ste D
Detroit, MI 48238-4019
Phone (313) 961-7990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, MN, AZ4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240607003489 OH Practitioner - Mental Health Counselor 6204378029 Reassigns benefits to 2 organizations
Practice locations: Weston, OH
I20241211002365 MI Practitioner - Mental Health Counselor 6204378029 Reassigns benefits to 2 organizations
I20260311002682 MN Practitioner - Mental Health Counselor 6204378029 Reassigns benefits to 1 organization
I20260317000345 AZ Practitioner - Mental Health Counselor 6204378029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401223497MIMDProfessional Counselor
E-2001973-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Headway Colorado Behavioral Health Services, Inc. CurrentSince Oct 12, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 6, 2026 Accepting new patients
Neighborhood Service Organization CurrentSince Aug 29, 2024 Accepting new patients

Locations

8600 Woodward Ave
Detroit, MI 48202
Phone (313) 875-7601

205 Hudson St
Fl 9
New York, NY 10013
Phone (516) 274-9095

600 Superior Ave
Ste 1300
Cleveland, OH 44114
Phone (216) 373-2659

Interoperability endpoints

  • Direct secure messaging: deanacouch@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1487999736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "WESTON",
            "state": "OH",
            "postal_code": "435690055",
            "telephone_number": "419-936-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13172 MAIN ST # 55",
            "city": "WESTON",
            "state": "OH",
            "postal_code": "435699990",
            "telephone_number": "419-806-5688",
            "fax_number": "419-754-2609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "882 Oakman Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482384019",
            "country_code": "US",
            "telephone_number": "313-961-7990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUCH",
        "first_name": "DEANA",
        "middle_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "CRC, LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223497",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-2001973-SUPV",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": "00094728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, OH

Sources for this page

Verify at the official NPI Registry.