NPIMap

Organization Active NPI

Cincinnati Counseling and Play Therapy

  • Mental Health Counselor
  • Blue Ash, OH
National Provider Identifier
1104334770
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E1200233-SUPV Issued in OH
Legal business name
CINCINNATI COUNSELING AND PLAY THERAPY
Doing business as
Conscious Roots Counseling
Practice address
4424 Carver Woods Dr Ste 100
Blue Ash, OH 45242-5535
Phone
(513) 449-0799
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Jennifer Liu, LPCC-SNPI 1053745067
Title
Owner
Phone
(513) 374-8095

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X E1200233-SUPV OH Primary

Addresses

Primary practice location

4424 Carver Woods Dr Ste 100
Blue Ash, OH 45242-5535

Mailing address

4424 Carver Woods Dr Ste 100
Blue Ash, OH 45242-5535
Phone (513) 449-0799

Other names 1

  • Conscious Roots Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1104334770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 CARVER WOODS DR STE 100",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425535",
            "telephone_number": "513-449-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 CARVER WOODS DR STE 100",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425535",
            "telephone_number": "513-449-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI COUNSELING AND PLAY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-374-8095",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1200233-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conscious Roots Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Conscious Roots Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.