Chartyise Fagan, M.A., LPC
NPI 1114702081 · Mental Health Counselor · Toledo, OH
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chartyise Fagan, M.A., LPC is a Mental Health Counselor provider in Toledo, OH (NPI 1114702081).
Provider details
- NPI number
- 1114702081
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- M.A., LPC
- Sex
- Male
- Sole proprietor
- No
- License
- C.2305417 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1219 Jefferson AveToledo, OH 43604-5836Phone: (567) 289-2274
Registry dates
- Enumerated
- 2023-08-29
- Last updated
- 2024-06-24
- Certified
- 2024-06-24
Frequently asked questions
- What is Chartyise Fagan's NPI number?
- Chartyise Fagan's National Provider Identifier (NPI) is 1114702081, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Chartyise Fagan's specialty?
- Chartyise Fagan is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Chartyise Fagan located?
- Chartyise Fagan's practice location on file with NPPES is 830 N Summit St Ste 2, Toledo, OH 43604-1884.
- What is Chartyise Fagan's phone number?
- The practice phone number listed in the NPPES registry for Chartyise Fagan is (419) 693-9600.
- Does Chartyise Fagan accept Medicare?
- Chartyise Fagan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Chartyise Fagan's NPI active?
- Yes — Chartyise Fagan's NPI (1114702081) is active in the NPPES registry as of the last update on 2024-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.