Active NPI
Christa Carnahan, LISW-S
- Clinical Social Worker
- Middletown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0008496-SUPV
- Practice address
- 220 S Breiel Blvd
Middletown, OH 45044-5106 - Phone
- (513) 849-8670
- NPI assigned
- Jan 9, 2018
- Last updated
- Aug 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.0008496-SUPV | OH | Primary |
Addresses
Primary practice location
220 S Breiel Blvd
Middletown, OH 45044-5106
Mailing address
PO Box 55
Walton, KY 41094-0055
Other practice location 1
5108 Sandy Ln
Fairfield, OH 45014-2738
Phone (513) 834-7063
Other practice location 2
5223 College Corner Pike
Oxford, OH 45056-1005
Phone (513) 273-8064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0075179 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Kentucky College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
25101 Chagrin Blvd
Suite 100
Beachwood, OH 44122-5694
Phone (216) 831-6611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.0008496-SUPV | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Clinical | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468
25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520
9085 Southern St
Orient, OH 43146
Phone (614) 277-4618
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.
-
dba LifeStance Health
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1528575701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55",
"city": "WALTON",
"state": "KY",
"postal_code": "410940055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S BREIEL BLVD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450445106",
"telephone_number": "513-849-8670"
}
],
"practiceLocations": [
{
"address_1": "5108 Sandy Ln",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "OH",
"postal_code": "450142738",
"country_code": "US",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5223 College Corner Pike",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "OH",
"postal_code": "450561005",
"country_code": "US",
"telephone_number": "513-273-8064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARNAHAN",
"first_name": "CHRISTA",
"name_prefix": "Ms.",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-09",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.0008496-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0075179",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.