Christine Dunn, LPCC
Individual provider Active NPI Professional Counselor · Lisbon, OH
NPI 1659844280 · NPPES record last updated Jan 7, 2019
Key facts
- NPI
- 1659844280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- E.0001512 (OH)
- Practice address
- 40722 State Route 154
Lisbon, OH 44432-8500 - Phone
- (330) 424-9573
- NPI assigned
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbiana County Mental Health Clinic
Practice addresses (Care Compare)
40722 State Route 154
Lisbon, OH 44432-8500
Phone (330) 424-9573
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240328002002 | OH | Practitioner - Mental Health Counselor | 6608213467 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0001512 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbiana County Mental Health Clinic | Current |
Accepting new patients |
Locations
40722 State Route 154
Lisbon, OH 44432
166 Vine St
Salem, OH 44460
Phone (330) 332-1514
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | E.0001512 | OH | Yes |
Addresses
Primary practice location
40722 State Route 154
Lisbon, OH 44432-8500
Mailing address
PO Box 429
Lisbon, OH 44432-0429
NPI Registry JSON
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1659844280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 429",
"city": "LISBON",
"state": "OH",
"postal_code": "444320429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40722 STATE ROUTE 154",
"city": "LISBON",
"state": "OH",
"postal_code": "444328500",
"telephone_number": "330-424-9573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "CHRISTINE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0001512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lisbon, OH
- Domenic Dinello DMD, Inc.
- Laura Anne Donadio
- Christina Douglas
- Sarah F Driggs
- Tonia Duncan-Lydic
- Robert Louis Dunn
- Eisel Vision Clinic LLC
- Ryan W Eisel
- Lauren Marie Eisenbraun
- Karen Elliott
All providers in Lisbon, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.