Individual provider Active NPI

Christie R Vonville, LPCC

  • Professional Counselor
  • Dublin, OH
National Provider Identifier
1679961320
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1700386 Issued in OH
Practice address
4248 Tuller Rd Ste 101a
Dublin, OH 43017-5025
Phone
(614) 289-8658
Fax
(614) 737-9980
NPI assigned
Jan 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.1300582 OH
Professional Counselor 101YP2500X E.1700386 OH Primary

Addresses

Primary practice location

4248 Tuller Rd Ste 101a
Dublin, OH 43017-5025

Mailing address

5335 Castle Pnes
Columbus, OH 43235-5020
Phone (614) 289-8658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1300582OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Community Services Inc CurrentSince Jul 1, 2024 Accepting new patients
Bridges Community Services Inc Past Accepting new patients

Locations

850 Twin Rivers Dr
Unit 1930
Columbus, OH 43216
Phone (330) 716-3967

101 Westbrook Blvd
Upper Sandusky, OH 43351
Phone (419) 209-1100

116 E Spotswood Ave
Elkton, VA 22827

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1679961320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 CASTLE PNES",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355020",
            "telephone_number": "614-289-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4248 TULLER RD STE 101A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175025",
            "telephone_number": "614-289-8658",
            "fax_number": "614-737-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONVILLE",
        "first_name": "CHRISTIE",
        "middle_name": "R",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1300582",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1700386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.