Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932480415 Individual Practitioner Male Practitioner

Christopher L Stack , MA, DOCTORAL STUDEN

Counselor - Mental Health • Walbridge, OH

Professional Overview & Biography Verified Profile Summary

Christopher Stack, MA, DOCTORAL STUDEN is a registered healthcare professional specializing in Counselor - Mental Health in Walbridge, OH. Practice services are available at 5693 BLUE GRASS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5693 Blue Grass Dr

Walbridge, OH 434651148

Telephone 4198387626

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Walbridge, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Walbridge, OH (7961 Statewide)

Telehealth Adoption Rate
0.0% 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

Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License OH C.0700856

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 29, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 29, 2011

Registered at 5693 BLUE GRASS DR, WALBRIDGE, OH 434651148 (Tel: 4198387626)

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Updated Business Mailing Address August 29, 2011

Registered at 5693 BLUE GRASS DR, WALBRIDGE, OH 434651148 (Tel: 4198387626)

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Provider Name / Credentials Updated August 29, 2011

Recorded as CHRISTOPHER STACK, M.A./DOCTORAL STUDEN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2011

Counselor (License #C.0700856 in OH)

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Initial NPI Registration & Enumeration August 29, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932480415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2011
Last Update: August 29, 2011
Sole Proprietor: Yes

Mailing Address

5693 Blue Grass Dr

Walbridge, OH 434651148

Phone: 4198387626

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

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