NPIMap

Organization Active NPI

Columbus Area Wellness and Counseling

  • Clinical Psychologist
  • Columbus, OH
National Provider Identifier
1053906297
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
COLUMBUS AREA WELLNESS AND COUNSELING
Practice address
7650 Rivers Edge Dr Ste 140
Columbus, OH 43235-1342
Phone
(614) 636-2717
NPI assigned
Mar 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Stephanie Clouse, PH.D.NPI 1982032223
Title
Psychologist
Phone
(614) 636-2717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

7650 Rivers Edge Dr Ste 140
Columbus, OH 43235-1342

Mailing address

7650 Rivers Edge Dr Ste 140
Columbus, OH 43235-1342
Phone (614) 636-2717

National Provider Directory

National Provider Directory

Locations

7650 Rivers Edge Dr
Ste 140
Columbus, OH 43235
Phone (614) 636-2717

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1053906297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 RIVERS EDGE DR STE 140",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351342",
            "telephone_number": "614-636-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 RIVERS EDGE DR STE 140",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351342",
            "telephone_number": "614-636-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS AREA WELLNESS AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "CLOUSE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "614-636-2717",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.