Individual provider Active NPI

Christopher John Tafelski, LPCC

  • Professional Counselor
  • Maumee, OH
National Provider Identifier
1912442906
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1901163 Issued in OH
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

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02656767MedicaidOH
1437626587OtherOHANCHORED IN HOPE COUNSELING, LLC. GROUP NPI
0328261MedicaidOH

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
I20251117000701 OH Practitioner - Mental Health Counselor 2961993183 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
C.1400579OHMDMental Health Counselor
E.1901163OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Oct 1, 2025 Accepting new patients
Promedica Central Physicians CurrentSince Oct 1, 2025 Accepting new patients
Memorial Professional Services LTD CurrentSince Oct 1, 2025 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.

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

Verify at the official NPI Registry.