Organization Active NPI

Golden Reflections, LLC

  • Clinical Social Worker
  • Galion, OH
National Provider Identifier
1265989248
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1302300 Issued in OH
Legal business name
GOLDEN REFLECTIONS, LLC
Practice address
7807 State Route 309 Lot 1
Galion, OH 44833-9752
Phone
(419) 566-2891
Fax
(567) 393-9480
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Lisa Vanhouten, L.I.S.W.-SNPI 1326411463
Title
Owner
Phone
(419) 566-2891

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I1302300 OH Primary

Addresses

Primary practice location

7807 State Route 309 Lot 1
Galion, OH 44833-9752

Mailing address

PO Box 877
Galion, OH 44833-0877
Phone (419) 566-2891

Other identifiers 1

IdentifierTypeStateIssuer
0217680MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161118000091 OH Part B Supplier - Clinic/Group Practice 5698054534 Receives reassigned benefits from 1 practitioner
Practice locations: Shelby, OH; Galion, OH

National Provider Directory

National Provider Directory

Locations

7807 State Route 309
Unit A
Galion, OH 44833
Phone (419) 566-2891

Practitioners & affiliated clinicians

Practitioners 2

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": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1265989248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 877",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448330877",
            "telephone_number": "419-566-2891",
            "fax_number": "567-393-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 STATE ROUTE 309 LOT 1",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448339752",
            "telephone_number": "419-566-2891",
            "fax_number": "567-393-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN REFLECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "VANHOUTEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-566-2891",
        "authorized_official_credential": "L.I.S.W.-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1302300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217680",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.