NPIMap

Organization Active NPI

Front Street Associates LLC

Doing business as City Counseling A Home for Growth

  • Psychologist
  • Columbus, OH
National Provider Identifier
1265923452
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FRONT STREET ASSOCIATES LLC
Doing business as
City Counseling A Home for Growth
Practice address
987 S High St
Columbus, OH 43206
Phone
(614) 468-8184
Fax
(614) 681-0546
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Dr. Chad Corbley, PH.D.NPI 1487887493
Title
Owner
Phone
(614) 370-4549

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

987 S High St
Columbus, OH 43206

Mailing address

987 S High St
Columbus, OH 43206-2527
Phone (614) 468-8184

Other practice location 1

918 S Front St
Columbus, OH 43206-2521
Phone (614) 370-4549

Other names 1

  • City Counseling A Home for Growth Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180813000490 OH Part B Supplier - Clinic/Group Practice 8224386958 Receives reassigned benefits from 4 practitioners
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

987 S High St
Columbus, OH 43206
Phone (614) 464-8184

Practitioners & affiliated clinicians

Practitioners 9

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": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1265923452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062527",
            "telephone_number": "614-468-8184",
            "fax_number": "614-681-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43206",
            "telephone_number": "614-468-8184",
            "fax_number": "614-681-0546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "918 S Front St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432062521",
            "country_code": "US",
            "telephone_number": "614-370-4549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRONT STREET ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "CORBLEY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-370-4549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Counseling A Home for Growth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.