Casey Lauren Kortanek, LCDC III, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.2406593 Issued in OH

Practice address

5720 Gateway Ste 204
Mason, OH 45040-1891

Phone

(513) 445-9959

NPI assigned

Jun 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Journey Well, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mason, OH
  • NPI 1134577349
  NPD

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1497275663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 GATEWAY STE 204",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401891",
            "telephone_number": "513-445-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 GATEWAY STE 204",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401891",
            "telephone_number": "513-445-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTANEK",
        "first_name": "CASEY",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "LCDC III, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2305256-TRNE",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "162966",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2305256-TRNE",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2406593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leena Kokladas
• Amanda Christina Kom
• Sri Koneru, MD
• Alexandra Koprowicz, RBT
• Paul W Korn, MD
• Sarah Korth
• Allynne Kosier, PTA
• Sirisha Kothapalli, PHARMACIST
• Maya Koureih
• Alexander Thomas Kowalak

• Professional Counselor in Mason, OH
• Providers in Mason, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.