Active NPI 1093289530 Individual Practitioner Female Practitioner

Carissa Marie Mitchell , BA, CT

Counselor - Professional • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Carissa Mitchell, BA, CT is a registered healthcare professional specializing in Counselor - Professional in Dayton, OH. Practice services are available at 1020 WOODMAN DR STE 330 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1020 Woodman Dr Ste 330

Dayton, OH 454321410

Telephone 9372530606

Associated Practice Facility / Clinic

🏢 National Youth Advocate Program, Inc Facility NPI 1093963332

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Dayton, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.3 Yrs

State Avg: 15.9 Yrs

Regional Practice Density

132 Specialists

Practicing in Dayton, OH (6923 Statewide)

Telehealth Adoption Rate

6.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-13

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH C.2002974

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Shea Kvachuk , LPCC

Counselor - Mental Health

NPI 1003222423

Licensed Professional Clinical Counselor

Aisha Khan

Case Manager/Care Coordinator

NPI 1003663139

Mia Maroto , LISW

Social Worker

NPI 1013374727

Licensed Independent Social Worker

Taylor Reed

Community Health Worker

NPI 1013712389

Princess Bates

Community Health Worker

NPI 1033031141

Abigail Lay

Community Health Worker

NPI 1073352373

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2020

Counselor (License #C.2002974 in OH)

📍

Updated Practice Location October 06, 2020

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

📍

Updated Business Mailing Address October 06, 2020

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

✅

NPI Profile Active January 17, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location January 17, 2019

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

📍

Updated Business Mailing Address January 17, 2019

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

👤

Provider Name / Credentials Updated January 17, 2019

Recorded as CARISSA MITCHELL, BA, CT

🎓

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

Counselor (License #C.1801493-TRNE in OH)

🟢

Initial NPI Registration & Enumeration January 17, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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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

Update or Correct Profile

Mailing Address

1020 Woodman Dr Ste 330

Dayton, OH 454321410

Phone: 9372530606

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.