Individual provider Active NPI

Michelle Suzanne Geissman, LISW

  • Mental Health Counselor
  • Bucyrus, OH
National Provider Identifier
1982718664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I0008885 Issued in OH
Practice address
2458 Stetzer Rd
Bucyrus, OH 44820-2066
Phone
(419) 562-2000
Fax
(419) 562-1296
NPI assigned
Aug 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I0008885 OH Primary

Addresses

Primary practice location

2458 Stetzer Rd
Bucyrus, OH 44820-2066

Mailing address

PO Box 765
Bucyrus, OH 44820-0765
Phone (419) 562-2000

Other names 1

  • Michelle Suzanne Lash Former name

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
I20070917000337 OH Practitioner - Clinical Social Worker 1052405495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Healthworks, LLCGroup PAC ID 5890842553, 3 clinicians

Practice addresses (Care Compare)

114 S Walnut St
Bucyrus, OH 44820-2324
Phone (419) 562-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Healthworks, LLC CurrentSince May 25, 2021 Accepting new patients
Mid Ohio Chiropractic Inc Past Accepting new patients
Community Counseling Services, Inc. Past Accepting new patients

Locations

114 S Walnut St
Bucyrus, OH 44820
Phone (419) 562-2400

Organizations & group practices 4

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982718664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448200765",
            "telephone_number": "419-562-2000",
            "fax_number": "419-562-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 STETZER RD",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202066",
            "telephone_number": "419-562-2000",
            "fax_number": "419-562-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISSMAN",
        "first_name": "MICHELLE",
        "middle_name": "SUZANNE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I0008885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LASH",
            "middle_name": "SUZANNE",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bucyrus, OH

Sources for this page

Verify at the official NPI Registry.