NPIMap

Organization Active NPI

Miami Valley Counseling, LLC

  • Mental Health Counselor
  • Englewood, OH
National Provider Identifier
1215204037
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E-3301 Issued in OH
Legal business name
MIAMI VALLEY COUNSELING, LLC
Practice address
12 W Wenger Rd
Suite B-1
Englewood, OH 45322-2754
Phone
(937) 836-4788
Fax
(937) 836-4799
NPI assigned
Nov 22, 2011
Last updated
Nov 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Ms. Susan Bainbridge, LPCC
Title
Owner/Outpatient Therapist
Phone
(937) 836-4788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E-3301 OH Primary

Addresses

Primary practice location

12 W Wenger Rd
Suite B-1
Englewood, OH 45322-2754

Mailing address

12 W Wenger Rd
Suite B-1
Englewood, OH 45322-2754
Phone (937) 836-4788

National Provider Directory

National Provider Directory

Locations

12 W Wenger Rd
Ste B1
Englewood, OH 45322
Phone (937) 836-4788

Practitioners & affiliated clinicians

Practitioners 2

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": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1215204037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W WENGER RD",
            "address_2": "SUITE B-1",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222754",
            "telephone_number": "937-836-4788",
            "fax_number": "937-836-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W WENGER RD",
            "address_2": "SUITE B-1",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222754",
            "telephone_number": "937-836-4788",
            "fax_number": "937-836-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VALLEY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "BAINBRIDGE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "937-836-4788",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E-3301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.