MEDICARE: KRISTA BANKES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	C.2507677	OH

General Provider Information

NPI Number	:	1669290516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTA BANKES

Provider Business Mailing Address
First Line	:	395 HIGHLAND HILLS CIR
Second Line	:
City	:	HOWARD
State	:	OH
Zip	:	43028-9282
Country	:	US
Telephone Number	:	740-201-9074
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 AVALON RD
Second Line	:
City	:	MOUNT VERNON
State	:	OH
Zip	:	43050-1403
Country	:	US
Telephone Number	:	740-201-9074
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2024
Last Update Date	:	02/02/2026

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