Liberty Counseling and Consulting LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIBERTY COUNSELING AND CONSULTING LLC

Practice address

4769 Free Pike
Dayton, OH 45416-1111

Phone

(614) 738-3821

NPI assigned

Jun 27, 2020

Organization subpart

No

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

Authorized official

Name

Alexis Harbison, LPCCNPI 1699229104

Title

Owner

Phone

(614) 738-3821

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexis M Harbison, LPCC

  • Professional Counselor
  • Dayton, OH
  • NPI 1699229104
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1003433848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26335",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454260335",
            "telephone_number": "614-738-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4769 FREE PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454161111",
            "telephone_number": "614-738-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-27",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "HARBISON",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-738-3821",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa L Leybourne-Fugate
• Oliver Li, MD
• Xinwei Li
• Zach Liapis, DO
• Ethan Libby
• Liberty Nursing Center of Bellbrook Inc
• Liberty Retirement Community of Washington Township, Inc.
• Liberty/Matrix of Oxford LLC
• Liberty/Matrix of Westwood LLC
• Antonio M Licata, D.O.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dayton, OH
• Providers in Dayton, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.