Individual provider Active NPI

Joanne Kosta, LPCC

  • Professional Counselor
  • Fremont, OH
National Provider Identifier
1497189179
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1800690 Issued in OH
Practice address
428 Croghan St
Fremont, OH 43420-2448
Phone
(419) 355-9169
NPI assigned
Aug 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDC.131173 OH
Professional Counselor 101YP2500X E.1800690 OH Primary

Addresses

Primary practice location

428 Croghan St
Fremont, OH 43420-2448

Mailing address

2521 County Road 41
Fremont, OH 43420-8980
Phone (419) 355-9169

Other practice location 1

777 S Washington St
Tiffin, OH 44883-3325
Phone (419) 448-4094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241014001882 OH Practitioner - Mental Health Counselor 9032641279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 S Arch St
Fremont, OH 43420-2961
Phone (419) 680-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCDC.131173OHMDAddiction (Substance Use Disorder) Counselor
E.1800690OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kosta Health Promotions LLC Professional CurrentSince Aug 19, 2024 Accepting new patients

Locations

200 S Arch St
Fremont, OH 43420
Phone (419) 307-0956

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1497189179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 COUNTY ROAD 41",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434208980",
            "telephone_number": "419-355-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 CROGHAN ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202448",
            "telephone_number": "419-355-9169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Tiffin",
            "state": "OH",
            "postal_code": "448833325",
            "country_code": "US",
            "telephone_number": "419-448-4094",
            "fax_number": "419-448-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTA",
        "first_name": "JOANNE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDC.131173",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

Verify at the official NPI Registry.