NPIMap

Organization Active NPI

Ohio Family Counseling and Consultation, LLC

  • Community/Behavioral Health Agency
  • Coshocton, OH
National Provider Identifier
1053941237
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OHIO FAMILY COUNSELING AND CONSULTATION, LLC
Practice address
550 Main St
Coshocton, OH 43812-1612
Phone
(740) 291-3737
Fax
(833) 805-3653
NPI assigned
Jan 16, 2020
Organization subpart
Yes
Parent organization
OHIO FAMILY COUNSELING AND CONSULTATION, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Leslie Fehrman Ridenbaugh, LISW-S
Title
Ceo
Phone
(740) 291-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

550 Main St
Coshocton, OH 43812-1612

Mailing address

PO Box 1311
Coshocton, OH 43812-6311
Phone (740) 291-3737

Other identifiers 1

IdentifierTypeStateIssuer
01-7804OtherOHOHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190208001885 OH Part B Supplier - Clinic/Group Practice 7911245477 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coshocton, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ohio Family Counseling3 organizations share this tax ID, including this one
Part of
Ohio Family Counseling

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

303 S 4th St
Coshocton, OH 43812
Phone (740) 291-3737

Practitioners & affiliated clinicians

Practitioners 7

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": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1053941237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1311",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438126311",
            "telephone_number": "740-291-3737",
            "fax_number": "833-805-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MAIN ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121612",
            "telephone_number": "740-291-3737",
            "fax_number": "833-805-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO FAMILY COUNSELING AND CONSULTATION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO FAMILY COUNSELING AND CONSULTATION, LLC",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "FEHRMAN RIDENBAUGH",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-291-3737",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES",
            "identifier": "01-7804",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.