Individual provider Active NPI

Deisa Permeti, LPCC, LICDC

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1861944662
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E1700070 Issued in OH
Practice address
1289 E Livingston Ave
Columbus, OH 43205-2838
Phone
(614) 252-8834
Fax
(614) 826-9801
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC161420 OH
Professional Counselor 101YP2500X E1700070 OH Primary

Addresses

Primary practice location

1289 E Livingston Ave
Columbus, OH 43205-2838

Mailing address

473 Deerwood Ave E
Columbus, OH 43230-2008

Other practice location 1

700 Bryden Rd
Columbus, OH 43215-4839
Phone (614) 359-6583

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
I20240131004513 OH Practitioner - Mental Health Counselor 8820426372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Ohio Behavioral Health LLCGroup PAC ID 7214212695, 19 clinicians

Practice addresses (Care Compare)

1515 E Broad St
Columbus, OH 43205-1550
Phone (740) 569-5737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC161420OHMDAddiction (Substance Use Disorder) Counselor
E1700070OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Behavioral Health LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1515 E Broad St
Columbus, OH 43205
Phone (614) 251-6941

930 Bethesda Dr
Unit 4
Zanesville, OH 43701
Phone (740) 455-6202

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/midohiobh/r4/

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": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1861944662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 DEERWOOD AVE E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432302008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 E LIVINGSTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052838",
            "telephone_number": "614-252-8834",
            "fax_number": "614-826-9801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Bryden Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154839",
            "country_code": "US",
            "telephone_number": "614-359-6583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERMETI",
        "first_name": "DEISA",
        "name_prefix": "Mrs.",
        "credential": "LPCC, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC161420",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1700070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.