Active NPI
Talo Counseling Services LLC
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1164965273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1451394
- Legal business name
- TALO COUNSELING SERVICES LLC
- Practice address
- 2021 E Dublin Granville Rd Ste 170
Columbus, OH 43229-3548 - Phone
- (614) 532-8187
- NPI assigned
- Nov 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ayan Shire Hassan, LSW
- Title
- Clinician
- Phone
- (614) 532-8187
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1451394 | OH | Primary |
Addresses
Primary practice location
2021 E Dublin Granville Rd Ste 170
Columbus, OH 43229-3548
Mailing address
PO Box 1307
Dublin, OH 43017-6307
Phone (614) 532-8187
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0166439 | Medicaid | OH | |
| 0165820 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170714001784 | OH | Part B Supplier - Clinic/Group Practice | 0547530107 | Practice locations: Columbus, OH |
National Provider Directory
National Provider DirectoryLocations
2021 E Dublin Granville Rd
Ste 170
Columbus, OH 43229
Phone (614) 532-8187
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Dublin, OH
- NPI 1467908210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712102400000",
"number": "1164965273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1307",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430176307",
"telephone_number": "614-532-8187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 E DUBLIN GRANVILLE RD STE 170",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432293548",
"telephone_number": "614-532-8187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TALO COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-21",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A",
"authorized_official_last_name": "HASSAN",
"authorized_official_first_name": "AYAN",
"authorized_official_middle_name": "SHIRE",
"authorized_official_title_or_position": "CLINICIAN",
"authorized_official_telephone_number": "614-532-8187",
"authorized_official_credential": "LSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "1451394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0166439",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0165820",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.