Individual provider Active NPI

William Ralph Box, M.DIV, M.S., LPCC

  • Professional Counselor
  • Springboro, OH
National Provider Identifier
1750466272
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E. 0002272 SUPV Issued in OH
Practice address
550 N Main St
Suite B
Springboro, OH 45066-7520
Phone
(937) 681-3177
NPI assigned
Oct 25, 2006
Last updated
Feb 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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 E. 0002272 SUPV OH Primary

Addresses

Primary practice location

550 N Main St
Suite B
Springboro, OH 45066-7520

Mailing address

5737 Brant Rd
Morrow, OH 45152-9734
Phone (937) 681-3177

Other identifiers 3

IdentifierTypeStateIssuer
000000223368OtherOHANTHEM
267576000OtherOHMAGELLAN
6231302OtherOHUNITED BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240214001439 MI Practitioner - Mental Health Counselor 7214371681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Wright State University Boonshoft School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

901 W Memorial Dr
Houghton, MI 49931-2475
Phone (906) 482-9400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E. 0002272 SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Copper Country Community Mental Health Services CurrentSince Jan 1, 2024 Accepting new patients
Copper Country Community Mental Health Services Board CurrentSince Jan 1, 2024 Accepting new patients

Locations

15644 Skanee Rd
Lanse, MI 49946
Phone (906) 524-5885

515 Quartz St
Ontonagon, MI 49953
Phone (906) 884-4804

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1750466272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 BRANT RD",
            "city": "MORROW",
            "state": "OH",
            "postal_code": "451529734",
            "telephone_number": "937-681-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST",
            "address_2": "SUITE B",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667520",
            "telephone_number": "937-681-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOX",
        "first_name": "WILLIAM",
        "middle_name": "RALPH",
        "name_prefix": "Mr.",
        "credential": "M.DIV, M.S., LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E. 0002272 SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000223368",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "267576000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6231302",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

Verify at the official NPI Registry.