Active NPI
John Coaxum, LPC
- Mental Health Counselor
- Columbus, OH
National Provider Identifier
1306739487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.2305029
- Practice address
- 1120 Polaris Pkwy
Columbus, OH 43240-4042 - Phone
- (843) 906-6543
- NPI assigned
- May 29, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2305029 | OH | Primary |
Addresses
Primary practice location
1120 Polaris Pkwy
Columbus, OH 43240-4042
Mailing address
1120 Polaris Pkwy
Columbus, OH 43240-4042
Phone (614) 300-2755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2305029 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1306739487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 POLARIS PKWY",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432404042",
"telephone_number": "614-300-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 POLARIS PKWY",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432404042",
"telephone_number": "843-906-6543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COAXUM",
"first_name": "JOHN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-29",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2305029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.