NPIMap

Organization Active NPI

Professional Counseling Services of Ohio LLC

  • Professional Counselor
  • Vandalia, OH
National Provider Identifier
1073935649
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E3194 Issued in OH
Legal business name
PROFESSIONAL COUNSELING SERVICES OF OHIO LLC
Practice address
300 James Bohanan Dr
Vandalia, OH 45377-2300
Phone
(937) 742-7516
Fax
(937) 415-0152
NPI assigned
Jan 15, 2014
Last updated
Nov 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Carla R Urbanas, MS LPCCNPI 1669407318
Title
Owner
Phone
(937) 742-7516

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X E3194 OH Primary

Addresses

Primary practice location

300 James Bohanan Dr
Vandalia, OH 45377-2300

Mailing address

300 James Bohanan Dr
Vandalia, OH 45377-2300
Phone (937) 742-7516

Other practice location 1

1385 Stonycreek Rd
Troy, OH 45373-2561
Phone (937) 742-7516

Other practice location 2

1015 E Centerville Station Rd
Centerville, OH 45459-5500
Phone (937) 742-7516

National Provider Directory

National Provider Directory

Locations

1015 E Centerville Station Rd
Centerville, OH 45459
Phone (937) 249-6555

300 James Bohanan Dr
Vandalia, OH 45377
Phone (937) 742-7516

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1073935649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JAMES BOHANAN DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772300",
            "telephone_number": "937-742-7516",
            "fax_number": "937-415-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JAMES BOHANAN DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772300",
            "telephone_number": "937-742-7516",
            "fax_number": "937-415-0152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1385 Stonycreek Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453732561",
            "country_code": "US",
            "telephone_number": "937-742-7516",
            "fax_number": "937-415-0152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 E Centerville Station Rd",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454595500",
            "country_code": "US",
            "telephone_number": "937-742-7516",
            "fax_number": "937-415-0152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING SERVICES OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "URBANAS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-742-7516",
        "authorized_official_credential": "MS LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E3194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.