Individual provider Active NPI

Karissa Louise Egnacheski

  • Counselor
  • Girard, OH
National Provider Identifier
1821869355
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.2405476-TRNE Issued in OH
Practice address
1920 Churchill Rd Ste 200
Girard, OH 44420-2484
Phone
(330) 932-4002
Fax
(330) 932-4004
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.2405476-TRNE OH Primary

Addresses

Primary practice location

1920 Churchill Rd Ste 200
Girard, OH 44420-2484

Mailing address

530 Oriole Dr
Hubbard, OH 44425-2618
Phone (330) 469-3636

Other names 1

  • Karissa Loise Kuneli Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.2405476-TRNEOHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Find Rest Counseling LLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

1920 Churchill Rd
Ste 200
Girard, OH 44420
Phone (330) 410-8444

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": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1821869355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 ORIOLE DR",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444252618",
            "telephone_number": "330-469-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CHURCHILL RD STE 200",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202484",
            "telephone_number": "330-932-4002",
            "fax_number": "330-932-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGNACHESKI",
        "first_name": "KARISSA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2405476-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARISSA",
            "last_name": "KUNELI",
            "middle_name": "LOISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Girard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.