Individual provider Active NPI

Renee Pinkelman, LPCC

  • Mental Health Counselor
  • Beavercreek, OH
National Provider Identifier
1801066485
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0002837 Issued in OH
Practice address
1321 Research Park Dr
Beavercreek, OH 45432-2851
Phone
(937) 427-3837
Fax
(937) 427-4516
NPI assigned
Mar 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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 E0002837 OH Primary

Addresses

Primary practice location

1321 Research Park Dr
Beavercreek, OH 45432-2851

Mailing address

1321 Research Park Dr
Beavercreek, OH 45432-2851
Phone (937) 427-3837

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
I20240103003971 OH Practitioner - Mental Health Counselor 0446623425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Layh and Associates IncGroup PAC ID 0749266591, 15 clinicians

Practice addresses (Care Compare)

416 Xenia Ave
Yellow Springs, OH 45387-1836
Phone (937) 767-9171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0002837OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Layh & Associates Inc CurrentSince Jan 1, 2024 Accepting new patients
Integrated Youth Services Inc Past Accepting new patients
Integrated Youth Services, Inc. Past Accepting new patients

Locations

416 Xenia Ave
Yellow Springs, OH 45387
Phone (937) 767-9171

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": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1801066485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 RESEARCH PARK DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322851",
            "telephone_number": "937-427-3837",
            "fax_number": "937-427-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 RESEARCH PARK DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322851",
            "telephone_number": "937-427-3837",
            "fax_number": "937-427-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKELMAN",
        "first_name": "RENEE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0002837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.