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

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.

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 (20 clinicians)

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 IDStateProvider typePAC IDDetails
I20240328002002 OH Practitioner - Mental Health Counselor 6608213467 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
E.0001512OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbiana County Mental Health Clinic Current
since Jan 17, 2024
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 7, 2019.

{
    "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

All providers in Lisbon, OH · Professional Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.