Active NPI
Breiel Blvd Christian Counseling Center
- Voluntary or Charitable Agency
- Middletown, OH
National Provider Identifier
1104862747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- License
- LISW-I0009561
- 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
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, IMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Dayton, OH
- NPI 1235172818
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.