Emerge Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E. 0600268 Issued in OH

Legal business name

EMERGE COUNSELING, LLC

Practice address

70 Birch Aly
Suite 240
Beavercreek, OH 45440-1479

Phone

(937) 776-4339

Fax

(937) 350-5216

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole M Holbrook, MS, PCC

Title

Professional Clinical Counselor

Phone

(937) 776-4339

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1053778985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BIRCH ALY",
            "address_2": "SUITE 240",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454401479",
            "telephone_number": "937-776-4339",
            "fax_number": "937-350-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BIRCH ALY",
            "address_2": "SUITE 240",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454401479",
            "telephone_number": "937-776-4339",
            "fax_number": "937-350-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "HOLBROOK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROFESSIONAL CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "937-776-4339",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, PCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E. 0600268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.