Organization Active NPI

Breiel Blvd Christian Counseling Center

  • Voluntary or Charitable Agency
  • Middletown, OH
National Provider Identifier
1104862747
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
LISW-I0009561 Issued in OH
Legal business name
BREIEL BLVD CHRISTIAN COUNSELING CENTER
Practice address
2000 N Breiel Blvd
Middletown, OH 45042-2979
Phone
(513) 424-1887
Fax
(513) 424-2720
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Harris, ED.D.MSW, LISW, IMFTNPI 1235172818
Title
Social Worker
Phone
(513) 424-1887

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
Voluntary or Charitable Agency 251V00000X LISW-I0009561 OH Primary

Addresses

Primary practice location

2000 N Breiel Blvd
Middletown, OH 45042-2979

Mailing address

2000 N Breiel Blvd
Middletown, OH 45042-2979
Phone (513) 424-1887

National Provider Directory

National Provider Directory

Locations

2000 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-1887

Practitioners & affiliated clinicians

Practitioners 1

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": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104862747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450422979",
            "telephone_number": "513-424-1887",
            "fax_number": "513-424-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450422979",
            "telephone_number": "513-424-1887",
            "fax_number": "513-424-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREIEL BLVD CHRISTIAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "513-424-1887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D.MSW, LISW, IMFT"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "OH",
            "license": "LISW-I0009561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.