Organization Active NPI

Shelby County Counseling Center, Inc.

  • Psychologist
  • Sidney, OH
National Provider Identifier
1295732543
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5486 Issued in OH
Legal business name
SHELBY COUNTY COUNSELING CENTER, INC.
Practice address
500 E Court St
Sidney, OH 45365-2810
Phone
(937) 492-6970
Fax
(937) 492-6971
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kenneth Ward
Title
Executive Director
Phone
(937) 492-6970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 5486 OH Primary

Addresses

Primary practice location

500 E Court St
Sidney, OH 45365-2810

Mailing address

500 E Court St
Sidney, OH 45365-2810
Phone (937) 492-6970

National Provider Directory

National Provider Directory
Tax ID family
Shelby County Counseling Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 E Court St
Sidney, OH 45365
Phone (937) 492-6970

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295732543",
    "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": "937-492-6970",
            "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": "937-492-6970",
            "fax_number": "937-492-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-492-6970"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

  • 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.