Active NPI
Christine Ferens, M.ED, PCC,NCC
- Mental Health Counselor
- Moraine, OH
National Provider Identifier
1962770529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E0003011
- Practice address
- 5348 Lamme Rd
Moraine, OH 45439-3215 - Phone
- (937) 534-4651
- Fax
- (937) 534-4669
- NPI assigned
- Dec 9, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | E0003011 | OH | |
| Mental Health Counselor | 101YM0800X | E0003011 | OH | Primary |
Addresses
Primary practice location
5348 Lamme Rd
Moraine, OH 45439-3215
Mailing address
5348 Lamme Rd
Moraine, OH 45439-3215
Phone (937) 534-4651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E0003011 | Other | OH | OHIO PROF CLINICAL COUNSELOR |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cferens12493@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0003011 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1962770529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5348 LAMME RD",
"city": "MORAINE",
"state": "OH",
"postal_code": "454393215",
"telephone_number": "937-534-4651",
"fax_number": "937-534-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5348 LAMME RD",
"city": "MORAINE",
"state": "OH",
"postal_code": "454393215",
"telephone_number": "937-534-4651",
"fax_number": "937-534-4669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERENS",
"first_name": "CHRISTINE",
"credential": "M.ED, PCC,NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-09",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E0003011",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0003011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO PROF CLINICAL COUNSELOR",
"identifier": "E0003011",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cferens12493@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "5348 Lamme Rd",
"city": "Moraine",
"state": "OH",
"country_code": "US",
"postal_code": "454393215",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "5348 Lamme Rd",
"city": "Moraine",
"state": "OH",
"country_code": "US",
"postal_code": "454393215",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.