Individual provider Active NPI

Adam Bockhorst, PCC

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1114367141
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0900448 Issued in OH
Practice address
2300 Montana Ave
Suite 207
Cincinnati, OH 45211-3829
Phone
(513) 202-3610
NPI assigned
Jul 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.0900448 OH Primary

Addresses

Primary practice location

2300 Montana Ave
Suite 207
Cincinnati, OH 45211-3829

Mailing address

2300 Montana Ave
Suite 207
Cincinnati, OH 45211-3829
Phone (513) 202-3610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.0900448OHMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1114367141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MONTANA AVE",
            "address_2": "SUITE 207",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452113829",
            "telephone_number": "513-202-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MONTANA AVE",
            "address_2": "SUITE 207",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452113829",
            "telephone_number": "513-202-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKHORST",
        "first_name": "ADAM",
        "credential": "PCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0900448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.