CHARTYISE FAGAN M.A., LPC
NPI 1114702081
Counselor - Professional in Toledo, OH
About Chartyise Fagan M.a., Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARTYISE FAGAN M.A., LPC (NPI 1114702081) is an individual professional provider in Toledo, Ohio, licensed in Ohio (E.2606106) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Chartyise Fagan M.a., Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Chartyise Fagan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maumee, OH 43537
- Reassigned Medicare billing, Ohio enrollment
- 11 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Ohio enrollment
- 725 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Chartyise Fagan's NPI number?
The NPI number for Chartyise Fagan is 1114702081. It was assigned to this individual provider in the NPPES registry on August 29, 2023.
Where is Chartyise Fagan located?
Chartyise Fagan practices at 5726 Southwyck Blvd, Toledo, OH 43614. The listed phone number is (419) 705-8597.
What is Chartyise Fagan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Chartyise Fagan enrolled in Medicare?
Yes. Chartyise Fagan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Chartyise Fagan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chartyise Fagan reassigns Medicare benefits to 2 organizations: Inspiring Wellness LLC (Maumee, OH) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chartyise Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chartyise Fagan accept?
Health plans from MedMutual, Molina Healthcare, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and Paramount and 1 other insurer list Chartyise Fagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Chartyise Fagan was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Chartyise Fagan, M.A., LPC · NPI 1114702081
Professional provider in Toledo, Ohio. Individual provider, active in the CMS NPPES registry since August 29, 2023.
## Identity
- **NPI:** 1114702081 (Entity type: Individual)
- **Enumerated:** August 29, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** E.2606106 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 5726 SOUTHWYCK BLVD, Toledo, OH 43614-1559
- **Phone:** (419) 705-8597
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Inspiring Wellness LLC (NPI 1760171896, Maumee, OH); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114702081) · Data from the CMS NPPES public registry.