Organization Active NPI

Ccare Counseling LLC

  • Clinical Social Worker
  • Oxford, OH
National Provider Identifier
1164977260
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1200767-SUPV Issued in OH
Legal business name
CCARE COUNSELING LLC
Practice address
507 S College Ave Ste F
Oxford, OH 45056-2211
Phone
(513) 773-4149
Fax
(888) 356-1203
NPI assigned
Aug 18, 2016
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Kelly Cole, MSW/LISW-S
Title
Owner
Phone
(513) 773-4149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1200767-SUPV OH Primary

Addresses

Primary practice location

507 S College Ave Ste F
Oxford, OH 45056-2211

Mailing address

507 S College Ave Ste F
Oxford, OH 45056-2211
Phone (513) 773-4149

National Provider Directory

National Provider Directory

Locations

507 S College Ave
Ste F
Oxford, OH 45056
Phone (513) 773-4149

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1164977260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S COLLEGE AVE STE F",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450562211",
            "telephone_number": "513-773-4149",
            "fax_number": "888-356-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S COLLEGE AVE STE F",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450562211",
            "telephone_number": "513-773-4149",
            "fax_number": "888-356-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCARE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-773-4149",
        "authorized_official_credential": "MSW/LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1200767-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.