Individual provider Active NPI

John R Countryman, LPCC-S

  • Professional Counselor
  • Dublin, OH
National Provider Identifier
1902428857
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2303798-SUPV Issued in OH
Practice address
299 Cramer Creek CT
Dublin, OH 43017-2586
Phone
(614) 889-5722
Fax
(614) 889-9335
NPI assigned
May 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2303798-SUPV OH Primary

Addresses

Primary practice location

299 Cramer Creek CT
Dublin, OH 43017-2586

Mailing address

3645 Ridge Mill Dr
Hilliard, OH 43026-7752
Phone (614) 457-7876

Other practice location 1

3645 Ridge Mill Dr
Hilliard, OH 43026-7752
Phone (614) 457-7876

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
I20240106000715 OH Practitioner - Mental Health Counselor 1456702141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syntero IncGroup PAC ID 8224020466, 33 clinicians

Practice addresses (Care Compare)

299 Cramer Creek CT
Dublin, OH 43017-2586
Phone (614) 889-5722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2303798-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Syntero, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Syntero, Inc. Past Accepting new patients

Locations

299 Cramer Creek Ct
Dublin, OH 43017
Phone (614) 889-5722

3645 Ridge Mill Dr
Hilliard, OH 43026
Phone (614) 457-7876

7100 Graphics Way
Ste 3100
Lewis Center, OH 43035
Phone (740) 428-0428

Organizations & group practices 2

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1902428857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 RIDGE MILL DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267752",
            "telephone_number": "614-457-7876",
            "fax_number": "614-457-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CRAMER CREEK CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172586",
            "telephone_number": "614-889-5722",
            "fax_number": "614-889-9335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3645 Ridge Mill Dr",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430267752",
            "country_code": "US",
            "telephone_number": "614-457-7876",
            "fax_number": "614-457-7896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUNTRYMAN",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303798-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.