22 W Main Counseling Group LLP

Key facts

NPI

1144926643

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Counselor 101YM0800X

Legal business name

22 W MAIN COUNSELING GROUP LLP

Practice address

22 W Main St
Westerville, OH 43081-2110

Phone

(614) 568-3044

Fax

(614) 413-3597

NPI assigned

Feb 6, 2023

Organization subpart

No

Authorized official

Name

Amy Bock, LPCC-S NPI 1407294929

Title

Owner/Psychotherapist

Phone

(614) 568-3044

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Bock, LPCC Mental Health Counselor · Columbus, OH · NPI 1407294929
  NPD Authorized official MENTAL HEALTH
• Jackie Savel, LISW Mental Health Counselor · Westerville, OH · NPI 1134645161
  NPD (past) MENTAL HEALTH
• Brooke E Wetsch, LISW Clinical Social Worker · Columbus, OH · NPI 1730544479
  NPD (past) MENTAL HEALTH

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 6, 2023.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1144926643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W MAIN ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812110",
            "telephone_number": "614-568-3044",
            "fax_number": "614-413-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W MAIN ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812110",
            "telephone_number": "614-568-3044",
            "fax_number": "614-413-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "22 W MAIN COUNSELING GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "614-568-3044",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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