Active NPI
Jack Stoneburner & Associates LLC
- Mental Health Counselor
- Columbus, OH
National Provider Identifier
1114174976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- I3017
- Legal business name
- JACK STONEBURNER & ASSOCIATES LLC
- Practice address
- 1910 Crown Park CT
Columbus, OH 43235-2404 - Phone
- (614) 457-8359
- Fax
- (614) 457-6898
- NPI assigned
- Aug 25, 2008
- 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
- Mr. Jack Leroy Stoneburner, MSW, LISW
- Title
- President
- Phone
- (614) 457-8359
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | I3017 | OH | Primary |
Addresses
Primary practice location
1910 Crown Park CT
Columbus, OH 43235-2404
Mailing address
1910 Crown Park CT
Columbus, OH 43235-2404
Phone (614) 457-8359
National Provider Directory
National Provider DirectoryLocations
1910 Crown Park Ct
Columbus, OH 43235
Phone (614) 457-8359
5655 N High St
Ste 208
Worthington, OH 43085
Phone (614) 505-6977
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Burbank, CA
- NPI 1821181637
-
- Mental Health Counselor
- Worthington, OH
- NPI 1205137320
-
- Psychologist
- Columbus, OH
- NPI 1669598017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227657600000",
"number": "1114174976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 CROWN PARK CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432352404",
"telephone_number": "614-457-8359",
"fax_number": "614-457-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 CROWN PARK CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432352404",
"telephone_number": "614-457-8359",
"fax_number": "614-457-6898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACK STONEBURNER & ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-25",
"last_updated": "2008-11-26",
"status": "A",
"authorized_official_last_name": "STONEBURNER",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "LEROY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-457-8359",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW, LISW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "I3017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.