NPIMap

Organization Active NPI

Covenant Family Wellness, LLC

  • Professional Counselor
  • Reynoldsburg, OH
National Provider Identifier
1235625229
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E1800509 Issued in OH
Legal business name
COVENANT FAMILY WELLNESS, LLC
Practice address
1544 Valley Dr
Reynoldsburg, OH 43068-2649
Phone
(614) 705-0626
Fax
(844) 222-4587
NPI assigned
Jul 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Mr. Matthew E Morgan, LPCC-SNPI 1578002150
Title
Ownter
Phone
(614) 705-0626

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X E1800509 OH Primary

Addresses

Primary practice location

1544 Valley Dr
Reynoldsburg, OH 43068-2649

Mailing address

1544 Valley Dr
Reynoldsburg, OH 43068-2649
Phone (614) 260-9545

Other names 1

  • Misfit Refuge Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1235625229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 VALLEY DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682649",
            "telephone_number": "614-260-9545",
            "fax_number": "844-222-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 VALLEY DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682649",
            "telephone_number": "614-705-0626",
            "fax_number": "844-222-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT FAMILY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNTER",
        "authorized_official_telephone_number": "614-705-0626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1800509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Misfit Refuge Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.