Active NPI
Olivia Enloe, CT
- Mental Health Counselor
- Westerville, OH
National Provider Identifier
1093446601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.2103421-TRNE
- Practice address
- 670 Meridian Way
Westerville, OH 43082-7648 - Phone
- (614) 270-7958
- Fax
- (614) 300-5596
- NPI assigned
- Jun 23, 2022
- Last updated
- Jun 23, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2103421-TRNE | OH | Primary |
Addresses
Primary practice location
670 Meridian Way
Westerville, OH 43082-7648
Mailing address
704 Stow PL
Reynoldsburg, OH 43068-1643
Phone (440) 855-3410
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.2103421-TRNE | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1093446601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 STOW PL",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430681643",
"telephone_number": "440-855-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 MERIDIAN WAY",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827648",
"telephone_number": "614-270-7958",
"fax_number": "614-300-5596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENLOE",
"first_name": "OLIVIA",
"credential": "CT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2022-06-23",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2103421-TRNE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.