NPIMap

Organization Active NPI

Cambridge Counseling Center, Inc.

  • Clinical Social Worker
  • Cambridge, OH
National Provider Identifier
1184693103
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0476 Issued in OH
Legal business name
CAMBRIDGE COUNSELING CENTER, INC.
Practice address
317 Highland Ave
Cambridge, OH 43725-2529
Phone
(740) 435-9766
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Mrs. Susan C LynchNPI 1700616893
Title
Director of Operations
Phone
(740) 435-9766

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 0476 OH Primary

Addresses

Primary practice location

317 Highland Ave
Cambridge, OH 43725-2529

Mailing address

317 Highland Ave
PO Box 1295
Cambridge, OH 43725-2529
Phone (740) 435-9766

Other identifiers 1

IdentifierTypeStateIssuer
10685MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615001690 OH Part B Supplier - Clinic/Group Practice 2668456872 Receives reassigned benefits from 2 practitioners
Practice locations: Barnesville, OH; Cambridge, OH; Zanesville, OH

National Provider Directory

National Provider Directory

Locations

152 E Main St
Barnesville, OH 43713
Phone (740) 425-9174

317 Highland Ave
Cambridge, OH 43725
Phone 7404359766 ext. 226

1361 W Main St
Zanesville, OH 43701
Phone (740) 435-9766

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/cambridgecounselingcenter/r4/

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1184693103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 HIGHLAND AVE",
            "address_2": "PO BOX 1295",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252529",
            "telephone_number": "740-435-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 HIGHLAND AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252529",
            "telephone_number": "740-435-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "740-435-9766",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10685",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.