Active NPI
Daryush Parvinbenam, PCC
- Mental Health Counselor
- Columbus, OH
National Provider Identifier
1003007147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.0004156-SUPV
- Practice address
- 287 W Johnstown Rd
Columbus, OH 43230-2732 - Phone
- (614) 305-5102
- Fax
- (614) 383-7786
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.0004156-SUPV | OH | Primary |
Addresses
Primary practice location
287 W Johnstown Rd
Columbus, OH 43230-2732
Mailing address
287 W Johnstown Rd
Columbus, OH 43230-2732
Phone (614) 305-5102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0004156-SUPV | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1003007147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 W JOHNSTOWN RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432302732",
"telephone_number": "614-305-5102",
"fax_number": "614-383-7786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 W JOHNSTOWN RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432302732",
"telephone_number": "614-305-5102",
"fax_number": "614-383-7786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARVINBENAM",
"first_name": "DARYUSH",
"name_prefix": "Mr.",
"credential": "PCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.0004156-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.