Boni J Probasco, LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E.0700425 Issued in OH

Practice address

220 E Walnut St
Lancaster, OH 43130-4464

Phone

(740) 277-6043

NPI assigned

Dec 18, 2017

Last updated

Jan 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Ohio Medical University, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairfield Community Health CenterGroup PAC ID 9133316805, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: boni.probasco.p10@direct.fchc.nextgenshare.com
• FHIR API: https://api.qualifacts.org/api/fhir/isaoh/r4/

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.

• Fairfield Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lancaster, OH
  • NPI 1457676736
  Medicare reassignment Care Compare group NPD
• Fairfield Community Health Center

  dba Fairfield Community Health Center Pharmacy

  • Community/Retail Pharmacy
  • Lancaster, OH
  • NPI 1881403426
  NPD
• Fairfield Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lancaster, OH
  • NPI 1568130946
  NPD (past)
• Integrated Services for Behavioral Health

  • Clinical Social Worker
  • Nelsonville, OH
  • NPI 1073578431
  NPD (past)
• Integrated Services for Behavioral Health

  • Community/Behavioral Health Agency
  • Nelsonville, OH
  • NPI 1205196201
  NPD (past)

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1811403579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E WALNUT ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304464",
            "telephone_number": "740-277-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E WALNUT ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304464",
            "telephone_number": "740-277-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROBASCO",
        "first_name": "BONI",
        "middle_name": "J",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0700425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Rae Price, FNP-C
• Francis Pritchard
• Cassie Pritchett
• PRN Medical Staffing of Ohio Inc
• PRN Medical Staffing of Ohio Inc
• Elise M Probasco, QMHS BA CMS BA
• Professional Dental Alliance of Hopewell LLC (Hopewell Dental Lancaster)
• Benjamin E Pruitt, CNP
• Charles L Pruitt, MD
• Alva Puckett, CPRS

• Counselor in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.