NPIMap

Organization Active NPI

Jennah Counseling Services

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1124853692
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JENNAH COUNSELING SERVICES
Practice address
3140 E Broad St
Columbus, OH 43209-2066
Phone
(314) 354-7006
NPI assigned
Sep 4, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Abdur Siddiq, LISW-SNPI 1821632522
Title
Owner
Phone
(614) 354-7006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3140 E Broad St
Columbus, OH 43209-2066

Mailing address

3140 E Broad St
Columbus, OH 43209-2066
Phone (614) 354-7006

National Provider Directory

National Provider Directory

Locations

3140 E Broad St
Columbus, OH 43209
Phone (314) 354-7006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1124853692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092066",
            "telephone_number": "614-354-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092066",
            "telephone_number": "314-354-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNAH COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "SIDDIQ",
        "authorized_official_first_name": "ABDUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-354-7006",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Sep 5, 2024; 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.