Active NPI
Luna Counseling, LLC
- Mental Health Counselor
- Springfield, OH
National Provider Identifier
1295217347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LUNA COUNSELING, LLC
- Practice address
- 30 Warder St Ste 165
Springfield, OH 45504-2500 - Phone
- (937) 717-8643
- NPI assigned
- Sep 5, 2018
- Organization subpart
- Yes
- Parent organization
- LUNA COUNSELING, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jordan Lea Prebys, MA, LPCC, RPT, SP
- Title
- Owner/Licensed Counselor
- Phone
- (937) 717-8643
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
30 Warder St Ste 165
Springfield, OH 45504-2500
Mailing address
5959 E Casstown Clark Rd
Casstown, OH 45312-9746
Phone (937) 717-8643
National Provider Directory
National Provider Directory- Part of
- Luna Counseling LLP
Locations
30 Warder St
Ste 165
Springfield, OH 45504
Phone (937) 717-8643
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Springfield, OH
- NPI 1245363225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536105600000",
"number": "1295217347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 E CASSTOWN CLARK RD",
"city": "CASSTOWN",
"state": "OH",
"postal_code": "453129746",
"telephone_number": "937-717-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WARDER ST STE 165",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455042500",
"telephone_number": "937-717-8643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNA COUNSELING, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LUNA COUNSELING, LLC",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-05",
"status": "A",
"authorized_official_last_name": "PREBYS",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "LEA",
"authorized_official_title_or_position": "OWNER/LICENSED COUNSELOR",
"authorized_official_telephone_number": "937-717-8643",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, LPCC, RPT, SP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.