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Adam Bodner

Counselor β€’ Newark, OH

Active NPI 1942932546 Individual Practitioner Male Practitioner
Practice location in NPPES

68 W Church St Ste 318
Newark, OH 430555050

Call 7402811777 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

68 W Church St Ste 318

Newark, OH 430555050

Telephone 7402811777
Fax 7406876677

NPI first issued

2022

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 Newark and Ohio

13 active clinicians are listed under Counselor with a practice address in Newark, OH (4,098 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Newark

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 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: 2024-05-08
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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.

4 listed
Dr. Latisha Fowler , PhD

Counselor - Mental Health

NPI 1275850760

Doctor of Philosophy (Ph.D.)

Carol Kelly , LISW-S

Social Worker - Clinical

NPI 1932501566

LISWS

NPI 1851704860

Doctor of Psychology (Psy.D.)

NPI 1225538333

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2024

Counselor

πŸ“
Updated Practice Location June 22, 2023

Registered at 68 W CHURCH ST STE 318, NEWARK, OH 430555050 (Tel: 7402811777)

πŸ“
Updated Business Mailing Address June 22, 2023

Registered at 126 E IRONWOOD CIR, MEQUON, WI 530925973 (Tel: 2622418909)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2023

Student in an Organized Health Care Education/Training Program

βœ…
NPI Profile Active June 30, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 30, 2022

Registered at 1737 S NAPERVILLE RD STE 206, WHEATON, IL 601895894 (Tel: 6306539700)

πŸ“
Business Mailing Address (Initial Record) June 30, 2022

Registered at 1701 N DAMEN AVE # 109109, CHICAGO, IL 606475567 (Tel: 4146514787)

πŸ‘€
Provider Name / Credentials (Initial Record) June 30, 2022

Recorded as ADAM BODNER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2022

Counselor

🟒
Initial NPI Registration & Enumeration June 30, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942932546
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2022
Last Update: May 08, 2024
Sole Proprietor: No

Mailing Address

126 E Ironwood Cir

Mequon, WI 530925973

Phone: 2622418909

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.