NPIMap

Organization Active NPI

Hyde Park Virtual Counseling LLC

  • Counseling Psychologist
  • Blue Ash, OH
National Provider Identifier
1285492025
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
HYDE PARK VIRTUAL COUNSELING LLC
Practice address
11427 Reed Hartman Hwy # 225
Blue Ash, OH 45241-2418
Phone
(513) 310-8408
NPI assigned
Mar 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Mrs. Megan Jack
Title
Sole Proprietor
Phone
(303) 898-2265

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

11427 Reed Hartman Hwy # 225
Blue Ash, OH 45241-2418

Mailing address

11427 Reed Hartman Hwy # 225
Blue Ash, OH 45241-2418
Phone (513) 310-8408

Other identifiers 1

IdentifierTypeStateIssuer
0146174MedicaidOH

National Provider Directory

National Provider Directory

Locations

11427 Reed Hartman Hwy
#225
Blue Ash, OH 45241
Phone (513) 310-8408

Practitioners & affiliated clinicians

Practitioners 4

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": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1285492025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11427 REED HARTMAN HWY # 225",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412418",
            "telephone_number": "513-310-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11427 REED HARTMAN HWY # 225",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412418",
            "telephone_number": "513-310-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK VIRTUAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "303-898-2265",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146174",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.