Michelle Coutcher, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1200985 Issued in OH

Practice address

2739 Navarre Ave Ste 302
Oregon, OH 43616-3277

Phone

(567) 298-4640

Fax

(567) 298-4641

NPI assigned

Aug 1, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542931200000",
    "number": "1932455490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 NAVARRE AVE STE 302",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163277",
            "telephone_number": "567-298-4640",
            "fax_number": "567-298-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 NAVARRE AVE STE 302",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163277",
            "telephone_number": "567-298-4640",
            "fax_number": "567-298-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTCHER",
        "first_name": "MICHELLE",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2018-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1200985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080532",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H169660",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles W Cook, MD
• Sarah Coppens, RN
• Kimberly Dyan Cortez, LPTA
• Taylor Jade Cortez, CPHT
• Robert Cousino
• Jeffrey Allen Crawford, D.C.
• John Dominic Credico, M.D.
• Feisal Crumby Jr.
• Jaime Ann Csehi, M.ED, M.A. CCC-SLP
• Maria Luisa Salvador Cuevas, M.D.

• Clinical Social Worker in Oregon, OH
• Providers in Oregon, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.