Individual provider Active NPI

Denise Michelle Vukmanovich, LPCC

  • Mental Health Counselor
  • Uniontown, OH
National Provider Identifier
1699322362
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2303496 Issued in OH
Practice address
2930 Edison St NW
Uniontown, OH 44685-8000
Phone
(330) 595-4563
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2103181 OH
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X E.2303496 OH Primary

Addresses

Primary practice location

2930 Edison St NW
Uniontown, OH 44685-8000

Mailing address

2930 Edison St NW
Uniontown, OH 44685-8000
Phone (330) 595-4563

Other practice location 1

1865 Bailey Rd
Cuyahoga Falls, OH 44221-5211
Phone (330) 928-2042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.2103181OHMDMental Health Counselor
E.2303496OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
River Root Counseling Mental Health CurrentSince May 26, 2024 Accepting new patients
Child Guidance & Family Solutions PastSince Jan 1, 2020 Accepting new patients
River Root Counseling PastSince Aug 28, 2022 Accepting new patients

Locations

2930 Edison St NW
Ste B
Uniontown, OH 44685
Phone (330) 595-4563

2930 Edison St NW
Uniontown, OH 44685
Phone (330) 595-4563

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1699322362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 EDISON ST NW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858000",
            "telephone_number": "330-595-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 EDISON ST NW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858000",
            "telephone_number": "330-595-4563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1865 Bailey Rd",
            "address_purpose": "LOCATION",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "postal_code": "442215211",
            "country_code": "US",
            "telephone_number": "330-928-2042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUKMANOVICH",
        "first_name": "DENISE",
        "middle_name": "MICHELLE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2103181",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.