Organization Active NPI

Healing Horizons Professional Counseling LLC

  • Mental Health Counselor
  • Granville, OH
National Provider Identifier
1114562543
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEALING HORIZONS PROFESSIONAL COUNSELING LLC
Practice address
927 River Road
Granville, OH 43023
Phone
(740) 641-5020
NPI assigned
Nov 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Jessica Coffman, MS,LPCC, NCCNPI 1407373491
Title
LPCC
Phone
(740) 641-5020

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

927 River Road
Granville, OH 43023

Mailing address

4548 Keller Rd
Hebron, OH 43025-9404
Phone (740) 641-5020

Other identifiers 1

IdentifierTypeStateIssuer
0295672MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.coffman@healinghorizonscounseling.org Direct

National Provider Directory

National Provider Directory

Locations

927 River Rd
Granville, OH 43023
Phone (740) 641-5020

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": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1114562543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4548 KELLER RD",
            "city": "HEBRON",
            "state": "OH",
            "postal_code": "430259404",
            "telephone_number": "740-641-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 RIVER ROAD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "43023",
            "telephone_number": "740-641-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HORIZONS PROFESSIONAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LPCC",
        "authorized_official_telephone_number": "740-641-5020",
        "authorized_official_credential": "MS,LPCC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295672",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.coffman@healinghorizonscounseling.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "927 River Road",
            "city": "Granville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.