Active NPI
Christie R Vonville, LPCC
- Professional Counselor
- Dublin, OH
National Provider Identifier
1679961320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1700386
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1300582 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridges Community Services Inc | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.