NPIMap

Organization Active NPI

New Reflections Counseling Center, LLC

  • Clinical Social Worker
  • Marysville, OH
National Provider Identifier
1154356756
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I9359 Issued in OH
Legal business name
NEW REFLECTIONS COUNSELING CENTER, LLC
Practice address
16920 Square Dr
Marysville, OH 43040-9616
Phone
(937) 642-0048
Fax
(937) 642-1316
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Colleen Schaub, LISWNPI 1558332379
Title
Owner
Phone
(937) 642-0048

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X I9359 OH Primary

Addresses

Primary practice location

16920 Square Dr
Marysville, OH 43040-9616

Mailing address

16920 Square Dr
Marysville, OH 43040-9616
Phone (937) 642-0048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060802000013 OH Part B Supplier - Clinic/Group Practice 3870506249 Receives reassigned benefits from 4 practitioners
Practice locations: Marysville, OH

National Provider Directory

National Provider Directory

Locations

16920 Square Dr
Marysville, OH 43040
Phone (937) 642-0048

453 Allenby Dr
Marysville, OH 43040
Phone (937) 642-0048

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1154356756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16920 SQUARE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409616",
            "telephone_number": "937-642-0048",
            "fax_number": "937-642-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16920 SQUARE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409616",
            "telephone_number": "937-642-0048",
            "fax_number": "937-642-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW REFLECTIONS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "SCHAUB",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-642-0048",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I9359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.