Organization Active NPI

Talo Counseling Services LLC

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1164965273
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1451394 Issued in OH
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

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Ayan Shire Hassan, LSWNPI 1467908210
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0166439MedicaidOH
0165820MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170714001784 OH Part B Supplier - Clinic/Group Practice 0547530107 Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.