Organization Active NPI

Charismata Counseling LLC

  • Professional Counselor
  • Lancaster, OH
National Provider Identifier
1669070033
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHARISMATA COUNSELING LLC
Practice address
2670 N Columbus St Ste 0
Lancaster, OH 43130-8408
Phone
(740) 415-7371
Fax
(740) 785-5045
NPI assigned
Oct 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Authorized official

Name
Sheila Renee Gossett
Title
Office Manager
Phone
(614) 316-2864

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2670 N Columbus St Ste 0
Lancaster, OH 43130-8408

Mailing address

2670 N Columbus St
Lancaster, OH 43130-8408
Phone (740) 415-7371

Other identifiers 1

IdentifierTypeStateIssuer
2020MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lancaster Other

National Provider Directory

National Provider Directory

Locations

2670 N Columbus St
Lancaster, OH 43130
Phone (614) 867-7687

2670 N Columbus St
Ste 0
Lancaster, OH 43130
Phone (740) 415-7371

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602979200000",
    "number": "1669070033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 N COLUMBUS ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308408",
            "telephone_number": "740-415-7371",
            "fax_number": "740-785-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 N COLUMBUS ST STE 0",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308408",
            "telephone_number": "740-415-7371",
            "fax_number": "740-785-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARISMATA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A",
        "authorized_official_last_name": "GOSSETT",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-316-2864"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lancaster",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "USPS",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "USPS",
            "address_1": "2670 N Columbus St Ste 0",
            "city": "Lancaster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431308408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; 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.