Organization Active NPI

Presence of Mind Counseling

  • Mental Health Counselor
  • Bowling Green, OH
National Provider Identifier
1174253108
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PRESENCE OF MIND COUNSELING
Practice address
1234 Ridgewood Dr Ste C
Bowling Green, OH 43402-2695
Phone
(419) 408-5533
NPI assigned
Jun 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Ellen Larabee, LPCCNPI 1306200928
Title
Owner
Phone
(419) 575-2298

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
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1234 Ridgewood Dr Ste C
Bowling Green, OH 43402-2695

Mailing address

1234 Ridgewood Dr Ste C
Bowling Green, OH 43402-2695
Phone (419) 408-5533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240611002563 OH Part B Supplier - Clinic/Group Practice 4688116288 Receives reassigned benefits from 4 practitioners
Practice locations: Bowling Green, OH

National Provider Directory

National Provider Directory

Locations

1234 Ridgewood Dr
Ste C
Bowling Green, OH 43402
Phone (419) 408-5533

Practitioners & affiliated clinicians

Practitioners 5

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": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1174253108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 RIDGEWOOD DR STE C",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022695",
            "telephone_number": "419-408-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 RIDGEWOOD DR STE C",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022695",
            "telephone_number": "419-408-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE OF MIND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "LARABEE",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-575-2298",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.