Organization Active NPI

Clermont Counseling Center

  • Marriage & Family Therapist
  • Amelia, OH
National Provider Identifier
1003125816
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CLERMONT COUNSELING CENTER
Practice address
43 E Main St
Amelia, OH 45102-1993
Phone
(513) 947-7000
Fax
(513) 947-7222
NPI assigned
Sep 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James J O'Neil
Title
Ceo
Phone
(513) 354-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

43 E Main St
Amelia, OH 45102-1993

Mailing address

43 E Main St
Amelia, OH 45102-1993
Phone (513) 947-7000

Other identifiers 1

IdentifierTypeStateIssuer
0293123MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1003125816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 E MAIN ST",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021993",
            "telephone_number": "513-947-7000",
            "fax_number": "513-947-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 E MAIN ST",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021993",
            "telephone_number": "513-947-7000",
            "fax_number": "513-947-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERMONT COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2017-08-11",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-354-5200"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293123",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amelia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.