Derek Puchta

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1918 N Main St
Findlay, OH 45840-3818

Phone

(419) 425-5050

Fax

(419) 423-6464

NPI assigned

Aug 6, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Resource Center of Northwest Ohio IncGroup PAC ID 0446514673, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Family Resource Center of Northwest Ohio Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lima, OH
  • NPI 1710930953
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1972912665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 N MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458403818",
            "telephone_number": "419-425-5050",
            "fax_number": "419-426-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 N MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458403818",
            "telephone_number": "419-425-5050",
            "fax_number": "419-423-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCHTA",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret E Prichard
• Progressive Radiology of Ohio Inc
• Propolis 1624
• Lori L Prusnek, OT
• Aldona P Puchalski, DMD
• Ashley Lynn Puthoff
• Quad/Med, LLC
• Quality PT LLC
• Thomas M Raabe, MD
• Jennifer Radabaugh

• Counselor in Findlay, OH
• Providers in Findlay, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.

Verify at the official NPI Registry.