Active NPI
Christine E Zacheis, MFT-T
- Marriage & Family Therapist
- Fairlawn, OH
National Provider Identifier
1992263115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- M.2200310-TRNE
- Practice address
- 3094 W Market St Ste 105
Fairlawn, OH 44333-3617 - Phone
- (614) 421-8448
- NPI assigned
- Mar 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | 1992263115 | OH | |
| Marriage & Family Therapist | 106H00000X | M.2200310-TRNE | OH | Primary |
Addresses
Primary practice location
3094 W Market St Ste 105
Fairlawn, OH 44333-3617
Mailing address
202 E Bagley Rd
Berea, OH 44017-2058
Phone (614) 421-8448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2910854 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M.2200310-TRNE | OH | MD | Marriage & Family Therapist |
| 1992263115 | OH | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioguidestone | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1295096758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1992263115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 E BAGLEY RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440172058",
"telephone_number": "614-421-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3094 W MARKET ST STE 105",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333617",
"telephone_number": "614-421-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHEIS",
"first_name": "CHRISTINE",
"middle_name": "E",
"credential": "MFT-T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": "1992263115",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "M.2200310-TRNE",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2910854",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.