Active NPI
Emily Luann O'Bryan, LPCC
- Counselor
- Worthington, OH
National Provider Identifier
1154835387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C.130551
- Practice address
- 5701 N. Highist.
Suite 308
Worthington, OH 43085 - Phone
- (614) 406-0299
- NPI assigned
- Nov 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.130551 | OH | Primary |
Addresses
Primary practice location
5701 N. Highist.
Suite 308
Worthington, OH 43085
Mailing address
6170 Harbour Pointe
Unit 104
Columbus, OH 43231
Phone (614) 499-4715
Other names 1
- Emily Luann Samuelson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.130551 | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Youth Advocate Program, Inc | Past | Accepting new patients | |
| Bluestone Counseling LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Worthington, OH
- NPI 1407266703
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1841943495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1154835387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6170 HARBOUR POINTE",
"address_2": "UNIT 104",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43231",
"telephone_number": "614-499-4715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 N. HIGHIST.",
"address_2": "SUITE 308",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "43085",
"telephone_number": "614-406-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRYAN",
"first_name": "EMILY",
"middle_name": "LUANN",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-27",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.130551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "SAMUELSON",
"middle_name": "LUANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Worthington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.