Active NPI
Donna M Waller, C-TRNE
- Mental Health Counselor
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C1400320
- Practice address
- 21 E State St
Columbus, OH 43215-4281 - Phone
- (574) 546-1900
- Fax
- (574) 546-1999
- NPI assigned
- Sep 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C1400320 | OH | Primary |
Addresses
Primary practice location
21 E State St
Columbus, OH 43215-4281
Mailing address
5400 Edalbert Dr
Cincinnati, OH 45239-7604
Phone (513) 577-7284
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11230 Pippin Rd
Cincinnati, OH 45231-1202
Phone (574) 546-1900
3455 Nantucket Cir
Loveland, OH 45140-3732
Phone (574) 546-1900
5414 Hankins Rd
Middletown, OH 45044-9782
Phone (574) 546-1900
7047 Hamilton Mason Rd
West Chester, OH 45069-1424
Phone (574) 546-1900
990 Bayley Dr
Cincinnati, OH 45233-1664
Phone (574) 546-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1400320 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidestar Eldercare Corp -Oh | Mental Health | Current | Accepting new patients |
Locations
990 Bayley Dr
Cincinnati, OH 45233
Phone (513) 347-5500
21 E State St
Columbus, OH 43215
Phone (574) 546-1999
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": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1881094225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 EDALBERT DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452397604",
"telephone_number": "513-577-7284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 E STATE ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432154281",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLER",
"first_name": "DONNA",
"middle_name": "M",
"credential": "C-TRNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C1400320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.