Active NPI
MK Consulting and Counseling LLC
- Mental Health Counselor
- Amelia, OH
National Provider Identifier
1023760691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MK CONSULTING AND COUNSELING LLC
- Practice address
- 3865 Golden Meadow CT
Amelia, OH 45102-2635 - Phone
- (562) 265-8222
- NPI assigned
- Jan 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Malisa Komolthiti
- Title
- Director
- Phone
- (562) 265-8222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3865 Golden Meadow CT
Amelia, OH 45102-2635
Mailing address
3865 Golden Meadow CT
Amelia, OH 45102-2635
Phone (562) 265-8222
Other names 1
- TherapyAccess.Org
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730246400000",
"number": "1023760691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3865 GOLDEN MEADOW CT",
"city": "AMELIA",
"state": "OH",
"postal_code": "451022635",
"telephone_number": "562-265-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3865 GOLDEN MEADOW CT",
"city": "AMELIA",
"state": "OH",
"postal_code": "451022635",
"telephone_number": "562-265-8222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MK CONSULTING AND COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-24",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A",
"authorized_official_last_name": "KOMOLTHITI",
"authorized_official_first_name": "MALISA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "562-265-8222"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TherapyAccess.Org",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.