Professional Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L.0003571 Issued in OH

Legal business name

PROFESSIONAL COUNSELING

Practice address

10901 Reed Hartman Hwy
Suite #108
Blue Ash, OH 45242-2831

Phone

(513) 473-3110

NPI assigned

Mar 16, 2014

Last updated

Mar 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lillie J Martin, LISW-S

Title

Therapist

Phone

(513) 242-4235

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394928000000",
    "number": "1154747061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 REED HARTMAN HWY",
            "address_2": "SUITE #108",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422831",
            "telephone_number": "513-473-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 REED HARTMAN HWY",
            "address_2": "SUITE #108",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422831",
            "telephone_number": "513-473-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-16",
        "last_updated": "2014-03-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "513-242-4235",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "L.0003571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephen Pryce
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• Psychological & Behavioral Consultants, Inc.
• Kylie Purdin, QMHS

• Clinical Social Worker in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.