Individual provider Active NPI

Thomas M Butler, LPCC, IMFT

  • Professional Counselor
  • Grove City, OH
National Provider Identifier
1316082084
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E2170 Issued in OH
Practice address
4770 Hoover Rd
Grove City, OH 43123-8504
Phone
(614) 875-2551
Fax
(614) 875-8995
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E2170 OH Primary
Professional Counselor 101YP2500X F032 OH

Addresses

Primary practice location

4770 Hoover Rd
Grove City, OH 43123-8504

Mailing address

5352 Sandpiper Dr
Orient, OH 43146-9228
Phone (614) 875-2551

Other identifiers 1

IdentifierTypeStateIssuer
1982834974OtherOHSPIRIT OF PEACE CLINICAL COUNSELING

Other names 1

  • Mr. Tom M Butler Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2170OHMDProfessional Counselor
F032OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1316082084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5352 SANDPIPER DR",
            "city": "ORIENT",
            "state": "OH",
            "postal_code": "431469228",
            "telephone_number": "614-875-2551",
            "fax_number": "614-875-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238504",
            "telephone_number": "614-875-2551",
            "fax_number": "614-875-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LPCC, IMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E2170",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "F032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPIRIT OF PEACE CLINICAL COUNSELING",
            "identifier": "1982834974",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "BUTLER",
            "middle_name": "M",
            "prefix": "MR.",
            "credential": "LPCC-S, IMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.