NPIMap

Organization Active NPI

Professional Counseling Associates, LLC

  • Professional Counselor
  • Wooster, OH
National Provider Identifier
1306172358
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0007596 Issued in OH
Legal business name
PROFESSIONAL COUNSELING ASSOCIATES, LLC
Doing business as
Behavioral Health Professional
Practice address
1575 Saunders Dr
Wooster, OH 44691-1557
Phone
(330) 345-4511
NPI assigned
Oct 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Doug Casper, PCC-S
Title
President & Ceo
Phone
(330) 345-4511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X E.0007596 OH Primary

Addresses

Primary practice location

1575 Saunders Dr
Wooster, OH 44691-1557

Mailing address

PO Box 1071
Wooster, OH 44691-7071
Phone (330) 345-4511

Other names 1

  • Behavioral Health Professional Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1306172358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1071",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917071",
            "telephone_number": "330-345-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 SAUNDERS DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911557",
            "telephone_number": "330-345-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "CASPER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "330-345-4511",
        "authorized_official_credential": "PCC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0007596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Professional",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.