Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Carissa Marie Mitchell , BA, CT

Counselor - Professional β€’ Dayton, OH

Active NPI 1093289530 Individual Practitioner Female Practitioner
Practice location in NPPES

1020 Woodman Dr Ste 330
Dayton, OH 454321410

Call 9372530606 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1020 Woodman Dr Ste 330

Dayton, OH 454321410

Telephone 9372530606
Organization at the Same NPPES Address or Phone
National Youth Advocate Program, Inc Facility NPI 1093963332

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dayton and Ohio

136 active clinicians are listed under Counselor - Professional with a practice address in Dayton, OH (6,928 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dayton

7.4% of these 136 clinicians have the CMS telehealth indicator.

11.8% of these 136 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-11-13
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH C.2002974
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Rhonda Brown , NP-C

Registered Nurse - Psychiatric/Mental Health, Child & Adolescent

NPI 1700322989

Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2020

Counselor (license number reported to NPPES: OH C.2002974)

πŸ“
Updated Practice Location October 06, 2020

Registered at 1020 WOODMAN DR STE 330, DAYTON, OH 454321410 (Tel: 9372530606)

πŸ“
Updated Business Mailing Address October 06, 2020

Registered at 1020 WOODMAN DR STE 330, DAYTON, OH 454321410 (Tel: 9372530606)

βœ…
NPI Profile Active January 17, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 17, 2019

Registered at 2211 ARBOR BLVD, MORAINE, OH 454391521 (Tel: 9372229481)

πŸ“
Business Mailing Address (Initial Record) January 17, 2019

Registered at 2211 ARBOR BLVD, MORAINE, OH 454391521 (Tel: 9372229481)

πŸ‘€
Provider Name / Credentials (Initial Record) January 17, 2019

Recorded as CARISSA MITCHELL, BA, CT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2019

Counselor (license number reported to NPPES: OH C.1801493-TRNE)

🟒
Initial NPI Registration & Enumeration January 17, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1093289530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2019
Last Update: November 13, 2020
Sole Proprietor: Yes

Mailing Address

1020 Woodman Dr Ste 330

Dayton, OH 454321410

Phone: 9372530606

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.