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CHARLIE BANGO LPCC-S
NPI 1376949446
Counselor - Mental Health in Lakewood, OH

Active since November 17, 2014PECOS EnrolledAccepts Medicare Assignment
17405 HILLIARD RD, LAKEWOOD, OH 44107(216) 312-4774 Get Directions Write a Review

NPPES record last updated: November 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1376949446
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLIE BANGOCredential: LPCC-S
Location Address17405 HILLIARD RDLakewood, OH 44107-5305
Mailing Address17405 Hilliard RdLakewood, OH 44107 · (216) 312-4774
Phone(216) 312-4774
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 17, 2014
✔ NPI 1376949446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · E2133-S
17405 HILLIARD RD, Lakewood, OH 44107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5294187639
PECOS Enrollment IDI20240122001226
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

What insurance does Charlie Bango accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 4 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.