Organization Active NPI

Counseling and Neurotherapy Associates LLC

  • Community/Behavioral Health Agency
  • London, OH
National Provider Identifier
1063287431
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNSELING AND NEUROTHERAPY ASSOCIATES LLC
Doing business as
Darby Creek Counseling
Practice address
1375 US Highway 42 SE Ste C
London, OH 43140-9548
Phone
(614) 879-8067
Fax
(614) 503-0899
NPI assigned
Nov 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Daniel C Maust, MED/LPCC-SNPI 1073593828
Title
Owner
Phone
(614) 879-8067

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1375 US Highway 42 SE Ste C
London, OH 43140-9548

Mailing address

1375 US Highway 42 SE Ste C
London, OH 43140-9548
Phone (614) 879-8067

Other practice location 1

5548 Hilliard Rome Office Park
Hilliard, OH 43026-7286
Phone (614) 879-8067

Other identifiers 1

IdentifierTypeStateIssuer
0181670MedicaidOH

Other names 1

  • Darby Creek Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Counseling and Neurotherapy Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1063287431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 US HIGHWAY 42 SE STE C",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409548",
            "telephone_number": "614-879-8067",
            "fax_number": "614-503-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 US HIGHWAY 42 SE STE C",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409548",
            "telephone_number": "614-879-8067",
            "fax_number": "614-503-0899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5548 Hilliard Rome Office Park",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430267286",
            "country_code": "US",
            "telephone_number": "614-879-8067",
            "fax_number": "614-503-0899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING AND NEUROTHERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "MAUST",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-879-8067",
        "authorized_official_credential": "MED/LPCC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181670",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Darby Creek Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.