Individual provider Active NPI

Michele R Basiletti, LICDC LPCC-S

  • Professional Counselor
  • Uhrichsville, OH
National Provider Identifier
1770071623
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LICDC.161823 Issued in OH
Practice address
204 E 3Rd St
Uhrichsville, OH 44683-1821
Phone
(330) 440-8882
Fax
(740) 673-7013
NPI assigned
Apr 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LICDC.161823 OH Primary
Professional Counselor 101YP2500X E.2001821 OH

Addresses

Primary practice location

204 E 3Rd St
Uhrichsville, OH 44683-1821

Mailing address

28000 Mays School Rd
Tippecanoe, OH 44699-9449
Phone (330) 440-8882

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
I20240816003607 OH Practitioner - Mental Health Counselor 9133667488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 E 3Rd St
Uhrichsville, OH 44683-1821
Phone (330) 440-8882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.161823OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grace to Hope Counseling Services LLC Multi-Specialty CurrentSince Jan 1, 2015 Accepting new patients
Ryan L Dunn, PH.D., Inc Professional CurrentSince Jun 12, 2024 Accepting new patients

Locations

130 W 3rd St
Dover, OH 44622
Phone (330) 343-6600

79030 Freeport Tippecanoe Rd
Ste A
Tippecanoe, OH 44699
Phone (330) 440-8882

4617 Watson Creek Rd SE
Ste 101
Uhrichsville, OH 44683

204 E 3rd St
Uhrichsville, OH 44683
Phone (330) 440-8882

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1770071623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28000 MAYS SCHOOL RD",
            "city": "TIPPECANOE",
            "state": "OH",
            "postal_code": "446999449",
            "telephone_number": "330-440-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 3RD ST",
            "city": "UHRICHSVILLE",
            "state": "OH",
            "postal_code": "446831821",
            "telephone_number": "330-440-8882",
            "fax_number": "740-673-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILETTI",
        "first_name": "MICHELE",
        "middle_name": "R",
        "credential": "LICDC LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "LICDC.161823",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2001821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uhrichsville, OH

Sources for this page

Verify at the official NPI Registry.