AUTUMN STASZAK LPC
NPI 1932339819
Counselor - Mental Health in Chardon, OH
About Autumn Staszak Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN STASZAK LPC (NPI 1932339819) is an individual mental health provider in Chardon, Ohio, licensed in Ohio (E0500753) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
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
Autumn Staszak 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.
Other Providers at the Same Location NPPES 16
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 Autumn Staszak's NPI number?
The NPI number for Autumn Staszak is 1932339819. It was assigned to this individual provider in the NPPES registry on July 25, 2009.
Where is Autumn Staszak located?
Autumn Staszak practices at 695 South St, Chardon, OH 44024. The listed phone number is (440) 286-1553.
What is Autumn Staszak's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Autumn Staszak enrolled in Medicare?
Yes. Autumn Staszak 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.
When was this NPI record last updated?
The NPPES record for Autumn Staszak was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Autumn Staszak, LPC · NPI 1932339819
Mental Health provider in Chardon, Ohio. Individual provider, active in the CMS NPPES registry since July 25, 2009.
## Identity
- **NPI:** 1932339819 (Entity type: Individual)
- **Enumerated:** July 25, 2009
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** E0500753 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 695 SOUTH ST, Chardon, OH 44024-1474
- **Phone:** (440) 286-1553
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** February 6, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1932339819) · Data from the CMS NPPES public registry.