| Calypso Counseling, Llc | |
|
77 W Elmwood Dr Ste 303 Dayton OH 45459-4270 | |
| (937) 232-8026 | |
| Not Available |
| Full Name | Calypso Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 77 W Elmwood Dr Ste 303, Dayton, Ohio |
| Authorized Official Name and Position | Jessica Nye (MANAGING MEMBER/THERAPIST) |
| Authorized Official Contact | 9372328026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calypso Counseling, Llc 7300 Gem Ct Dayton OH 45459-3925 Ph: (937) 232-8026 | Calypso Counseling, Llc 77 W Elmwood Dr Ste 303 Dayton OH 45459-4270 Ph: (937) 232-8026 |
| NPI Number | 1649879248 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 10/23/2020 |
| Certification Date | 10/23/2020 |
| Medicare PECOS PAC ID | 1658817382 |
|---|---|
| Medicare Enrollment ID | O20240718001264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649879248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kristina J Winner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629001888 PECOS PAC ID: 6103074166 Enrollment ID: I20120917000382 |
| Provider Name | Susanne Mackenzie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376778712 PECOS PAC ID: 3577009372 Enrollment ID: I20240729000330 |
| Provider Name | Jessica Nye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093135345 PECOS PAC ID: 2264978998 Enrollment ID: I20240729000505 |
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