Individual provider Active NPI

Christopher R. Doud, M.A., PCC

  • Professional Counselor
  • Bethesda, OH
National Provider Identifier
1740589563
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0800132 Issued in OH
Practice address
40060 National Rd
Bethesda, OH 43719-9763
Phone
(740) 782-0092
NPI assigned
Mar 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0800132 OH Primary

Addresses

Primary practice location

40060 National Rd
Bethesda, OH 43719-9763

Mailing address

40060 National Rd
Bethesda, OH 43719-9763
Phone (740) 782-0092

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
I20240815001219 OH Practitioner - Mental Health Counselor 8022551852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village NetworkGroup PAC ID 6901049089, 10 clinicians

Practice addresses (Care Compare)

1751 E Long St
Columbus, OH 43203-2045
Phone (614) 253-8050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E0800132OHMDProfessional Counselor

Organizations & group practices 1

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1740589563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40060 NATIONAL RD",
            "city": "BETHESDA",
            "state": "OH",
            "postal_code": "437199763",
            "telephone_number": "740-782-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40060 NATIONAL RD",
            "city": "BETHESDA",
            "state": "OH",
            "postal_code": "437199763",
            "telephone_number": "740-782-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUD",
        "first_name": "CHRISTOPHER",
        "middle_name": "R.",
        "credential": "M.A., PCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-18",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0800132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, OH

Sources for this page

Verify at the official NPI Registry.