Individual provider Active NPI

Kathrine E Dannemiller, LPCC

  • Mental Health Counselor
  • Youngstown, OH
National Provider Identifier
1699328385
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2102583-SUPV Issued in OH
Practice address
711 Belmont Ave
Youngstown, OH 44502-1039
Phone
(330) 793-2487
Fax
(330) 743-5748
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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 E.2102583-SUPV OH Primary

Addresses

Primary practice location

711 Belmont Ave
Youngstown, OH 44502-1039

Mailing address

711 Belmont Ave
Youngstown, OH 44502-1039
Phone (330) 793-2487

Other identifiers 1

IdentifierTypeStateIssuer
0361064MedicaidOH

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
I20240719001158 OH Practitioner - Mental Health Counselor 6709322340 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1700439-TRNEOHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Children'S Hospital Current Accepting new patients
Child Guidance & Family Solutions CurrentSince May 11, 2025 Accepting new patients
Avenues of Counseling and Mediation Mental Health CurrentSince Apr 19, 2024 Accepting new patients
Lisa Borchert Dba Avenues of Counseling Mental Health Past Accepting new patients

Locations

18 N Forge St
Akron, OH 44304
Phone (330) 762-0591

843 N Cleveland Massillon Rd
Ste 6
Fairlawn, OH 44333
Phone (330) 723-7977

843 N Cleveland Massillon Rd
Ste 9
Fairlawn, OH 44333

230 S Court St
Ste 5
Medina, OH 44256
Phone (330) 723-7977

Interoperability endpoints

  • Direct secure messaging: kdannemiller122001@direct.chmca.org

Organizations & group practices 4

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1699328385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021039",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021039",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNEMILLER",
        "first_name": "KATHRINE",
        "middle_name": "E",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2102583-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361064",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.