MEDICARE: RADIX COUNSELING

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

General Provider Information

NPI Number	:	1821955964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIX COUNSELING

Provider Business Mailing Address
First Line	:	500 LEHMAN AVE STE 100
Second Line	:
City	:	BOWLING GREEN
State	:	OH
Zip	:	43402-3068
Country	:	US
Telephone Number	:	419-494-4643
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 LEHMAN AVE STE 100
Second Line	:
City	:	BOWLING GREEN
State	:	OH
Zip	:	43402-3068
Country	:	US
Telephone Number	:	419-494-4643
Fax Number	:

Authorized Official
Title or Position	:	LPCC
Name	:	ERICA J PORTER
Credential	:	MA, LPCC
Telephone Number	:	419-494-4643

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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Directions to “RADIX COUNSELING ” Practice Location

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