NPIMap

Organization Active NPI

Connections Family Counseling LLC

  • Clinical Social Worker
  • Medina, OH
National Provider Identifier
1154740173
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-8377-S Issued in OH
Legal business name
CONNECTIONS FAMILY COUNSELING LLC
Practice address
799 N Court St
Suite 3
Medina, OH 44256-1765
Phone
(330) 722-0990
NPI assigned
Apr 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Carla EverstijnNPI 1508822636
Title
Owner
Phone
(330) 321-2991

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 I-8377-S OH Primary

Addresses

Primary practice location

799 N Court St
Suite 3
Medina, OH 44256-1765

Mailing address

6085 Ballou Rd
Medina, OH 44256-9116
Phone (330) 321-2991

National Provider Directory

National Provider Directory

Locations

799 N Court St
Ste 3
Medina, OH 44256
Phone (330) 722-0990

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": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1154740173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6085 BALLOU RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569116",
            "telephone_number": "330-321-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 N COURT ST",
            "address_2": "SUITE 3",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561765",
            "telephone_number": "330-722-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "EVERSTIJN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-321-2991"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-8377-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.