Individual provider Active NPI

Carlie Jeanne McClure Yersky, LPC

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1699254193
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1902142 Issued in OH
Practice address
4633 Aicholtz Rd Lowr Level
Cincinnati, OH 45244-1447
Phone
(513) 752-1555
NPI assigned
Aug 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1902142 OH Primary

Addresses

Primary practice location

4633 Aicholtz Rd Lowr Level
Cincinnati, OH 45244-1447

Mailing address

4629 Aicholtz Rd Lowr Level
Cincinnati, OH 45244-1551
Phone (513) 752-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409000298 OH Practitioner - Mental Health Counselor 2264870484 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1902142OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Cincinnati Behavioral Health Services CurrentSince Feb 21, 2024 Accepting new patients
Greater Cincinnati Behavioral Health Services CurrentSince Feb 21, 2024 Accepting new patients
Greater Cincinnati Behavioral Health Services Past Accepting new patients

Locations

1501 Madison Rd
Walnut Hills, OH 45206
Phone (513) 354-7000

Organizations & group practices 3

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": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1699254193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 AICHOLTZ RD LOWR LEVEL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441551",
            "telephone_number": "513-752-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 AICHOLTZ RD LOWR LEVEL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441447",
            "telephone_number": "513-752-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERSKY",
        "first_name": "CARLIE",
        "middle_name": "JEANNE MCCLURE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1902142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.