Active NPI
Genevieve Andree Celli
- Addiction (Substance Use Disorder) Counselor
- Lancaster, OH
National Provider Identifier
1902368632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.175092
- Practice address
- 551 1/2 E Main St
Lancaster, OH 43130-3809 - Phone
- (614) 404-6008
- Fax
- (740) 277-7790
- NPI assigned
- Apr 2, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Behavior Technician | 106S00000X | |||
| Other Specialist/Technologist | 246Z00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.175092 | OH | Primary |
Addresses
Primary practice location
551 1/2 E Main St
Lancaster, OH 43130-3809
Mailing address
PO Box 243
Sugar Grove, OH 43155-0243
Phone (614) 404-6008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004 | Other | OH | CREED INTEGRATED BEAHAVIORAL HEALTH SERVICES |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.175092 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1902368632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 243",
"city": "SUGAR GROVE",
"state": "OH",
"postal_code": "431550243",
"telephone_number": "614-404-6008",
"fax_number": "470-277-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 1/2 E MAIN ST",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303809",
"telephone_number": "614-404-6008",
"fax_number": "740-277-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELLI",
"first_name": "GENEVIEVE",
"middle_name": "ANDREE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.175092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CREED INTEGRATED BEAHAVIORAL HEALTH SERVICES",
"identifier": "004",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.