CHARLIE BANGO LPCC-S
NPI 1376949446
Counselor - Mental Health in Lakewood, OH
About Charlie Bango Lpcc-s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLIE BANGO LPCC-S (NPI 1376949446) is an individual mental health provider in Lakewood, Ohio, licensed in Ohio (E2133-S) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS and is a graduate of Other (1987).
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
Charlie Bango Lpcc-s 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 Reassignment
Medicare enrollment records show Charlie Bango reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rocky River, OH 44116
- Reassigned Medicare billing, Ohio enrollment
- 12 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.
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 Charlie Bango's NPI number?
The NPI number for Charlie Bango is 1376949446. It was assigned to this individual provider in the NPPES registry on November 17, 2014.
Where is Charlie Bango located?
Charlie Bango practices at 17405 Hilliard Rd, Lakewood, OH 44107. The listed phone number is (216) 312-4774.
What is Charlie Bango's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Charlie Bango enrolled in Medicare?
Yes. Charlie Bango 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 organization bills Medicare for Charlie Bango's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlie Bango reassigns Medicare benefits to Behavioral Health Services Of Greater Cleveland (Rocky River, OH). The 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 Charlie Bango's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charlie Bango accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Charlie Bango 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 Charlie Bango was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Charlie Bango, LPCC-S · NPI 1376949446
Mental Health provider in Lakewood, Ohio. Individual provider, active in the CMS NPPES registry since November 17, 2014.
## Identity
- **NPI:** 1376949446 (Entity type: Individual)
- **Enumerated:** November 17, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** E2133-S (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17405 HILLIARD RD, Lakewood, OH 44107-5305
- **Phone:** (216) 312-4774
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Behavioral Health Services Of Greater Cleveland (NPI 1659522423, Rocky River, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** November 17, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1376949446) · Data from the CMS NPPES public registry.