Organization Active NPI

Stephanie Tobin Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • London, OH
National Provider Identifier
1104598994
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
STEPHANIE TOBIN COUNSELING, LLC
Practice address
314 Thomas LN
London, OH 43140-9779
Phone
(614) 937-4850
NPI assigned
Sep 30, 2021
Last updated
Jul 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Stephanie C. Tobin, LISWSNPI 1144455742
Title
Owner
Phone
(614) 937-4850

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

314 Thomas LN
London, OH 43140-9779

Mailing address

314 Thomas LN
London, OH 43140-9779
Phone (614) 937-4850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220518000535 OH Part B Supplier - Clinic/Group Practice 6901283639 Receives reassigned benefits from 1 practitioner
Practice locations: London, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1104598994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 THOMAS LN",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409779",
            "telephone_number": "614-937-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 THOMAS LN",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409779",
            "telephone_number": "614-937-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE TOBIN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-937-4850",
        "authorized_official_credential": "LISWS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.