Traci Rose Cahill, PCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E. 1100011 Issued in OH

Practice address

5701 N High St Ste 308
Worthington, OH 43085-3960

Phone

(614) 406-0299

Fax

(866) 594-7023

NPI assigned

Jul 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bluestone Counseling LLC

  • Mental Health Counselor
  • Worthington, OH
  • NPI 1407266703
  NPD Authorized official
• Tiffin Counseling Group

  • Adult Mental Health Clinic/Center
  • Tiffin, OH
  • NPI 1366256539
  NPD Authorized official

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

{
    "created_epoch": "1342310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1033464169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3748 KILMUIR DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432215606",
            "telephone_number": "614-406-0299",
            "fax_number": "866-594-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 N HIGH ST STE 308",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853960",
            "telephone_number": "614-406-0299",
            "fax_number": "866-594-7023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 Bethel Rd Ste 302B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432202775",
            "country_code": "US",
            "telephone_number": "614-406-0299",
            "fax_number": "866-594-7023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5655 N High St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "OH",
            "postal_code": "430853948",
            "country_code": "US",
            "telephone_number": "614-406-0299",
            "fax_number": "866-594-7023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "TRACI",
        "middle_name": "ROSE",
        "credential": "PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-15",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E. 1100011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0208112",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Worthington, OH
• Providers in Worthington, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.