Shelby County Counseling Center, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

520 Issued in OH

Legal business name

SHELBY COUNTY COUNSELING CENTER, INC.

Practice address

500 E Court St
Sidney, OH 45365-2810

Phone

(937) 492-8080

Fax

(937) 492-6971

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ken Ward

Title

Executive Director

Phone

(937) 492-6970

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275633539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E COURT ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652810",
            "telephone_number": "937-492-8080",
            "fax_number": "937-492-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E COURT ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652810",
            "telephone_number": "937-492-8080",
            "fax_number": "937-492-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-492-6970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Sue Shaw
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• Shelby County Board of MRDD
• Shelby County Counseling Center, Inc.
• Shelby County Counseling Center, Inc.
• Shelby County Counseling Center, Inc.
• Shelby County Educational Service Center
• Shelby County Memorial Hospital Assoc
• Shelby County Memorial Hospital Association

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sidney, OH
• Providers in Sidney, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.