Active NPI
John Elliott, PC
- Professional Counselor
- Mason, OH
National Provider Identifier
1083025654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.1100381
- Practice address
- 6400 Thornberry CT
Ste 620
Mason, OH 45040-7818 - Phone
- (513) 229-8386
- Fax
- (513) 229-8385
- NPI assigned
- May 16, 2014
- Last updated
- May 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.1100381 | OH | Primary |
Addresses
Primary practice location
6400 Thornberry CT
Ste 620
Mason, OH 45040-7818
Mailing address
6400 Thornberry CT Ste 620
Adult, Child, Family Counseling of Mason
Mason, OH 45040-7818
Phone (513) 229-8386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1100381 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult Child Family Counseling of Mason | Past | Accepting new patients | |
| Jonathan M. League Private Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Mason, OH
- NPI 1245643139
-
dba Adult, Child, Family Counseling of Mason
- Mental Health Counselor
- Mason, OH
- NPI 1649523192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1083025654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 THORNBERRY CT STE 620",
"address_2": "ADULT, CHILD, FAMILY COUNSELING OF MASON",
"city": "MASON",
"state": "OH",
"postal_code": "450407818",
"telephone_number": "513-229-8386",
"fax_number": "513-229-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 THORNBERRY CT",
"address_2": "STE 620",
"city": "MASON",
"state": "OH",
"postal_code": "450407818",
"telephone_number": "513-229-8386",
"fax_number": "513-229-8385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "JOHN",
"credential": "PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-16",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1100381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.