Active NPI
Christopher John Tafelski, LPCC
- Professional Counselor
- Maumee, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1901163
- Practice address
- 1655 Holland Rd Ste F
Maumee, OH 43537-1656 - Phone
- (513) 834-7063
- Fax
- (513) 873-1567
- NPI assigned
- Dec 29, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1901163 | OH | Primary |
| Mental Health Counselor | 101YM0800X | C.1400579 | OH |
Addresses
Primary practice location
1655 Holland Rd Ste F
Maumee, OH 43537-1656
Mailing address
446 Morgan St
Cincinnati, OH 45206-2348
Phone (513) 834-7063
Other practice location 1
4334 Secor Rd
Toledo, OH 43623-4234
Phone (419) 475-6478 ext. 1133
Other practice location 2
1627 Henthorne Dr Ste C
Maumee, OH 43537-1370
Phone (419) 491-0420
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02656767 | Medicaid | OH | |
| 1437626587 | Other | OH | ANCHORED IN HOPE COUNSELING, LLC. GROUP NPI |
| 0328261 | Medicaid | OH |
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
- May accept Medicare assignment
Practice addresses (Care Compare)
100 Madison Ave
MSC S38805
Toledo, OH 43604-1516
1601 Brigham Dr
Suite 150
Perrysburg, OH 43551-7114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1400579 | OH | MD | Mental Health Counselor |
| E.1901163 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Memorial Professional Services LTD | Current | Accepting new patients |
Locations
715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321
1601 Brigham Dr
Ste 150
Perrysburg, OH 43551
Phone (419) 794-7700
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Fremont, OH
- NPI 1205139623
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
dba ProMedica Physicians Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1912442906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 MORGAN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452062348",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 HOLLAND RD STE F",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371656",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
}
],
"practiceLocations": [
{
"address_1": "4334 Secor Rd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436234234",
"country_code": "US",
"telephone_number": "419-475-6478 x1133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1627 Henthorne Dr Ste C",
"address_purpose": "LOCATION",
"city": "Maumee",
"state": "OH",
"postal_code": "435371370",
"country_code": "US",
"telephone_number": "419-491-0420",
"fax_number": "567-698-7875",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAFELSKI",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-29",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1901163",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1400579",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02656767",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCHORED IN HOPE COUNSELING, LLC. GROUP NPI",
"identifier": "1437626587",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0328261",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.