NPIMap

Organization Active NPI

Common Bond Counseling, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Logan, OH
National Provider Identifier
1326542507
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
COMMON BOND COUNSELING, LLC
Practice address
1220 W Hunter St
Logan, OH 43138-1012
Phone
(740) 205-2999
Fax
(740) 216-4501
NPI assigned
Mar 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Teresa S. Dement, LPCC-S, LICDCNPI 1457890097
Title
Therapist/Practice Manager
Phone
(740) 205-2999

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

1220 W Hunter St
Logan, OH 43138-1012

Mailing address

1220 W Hunter St
Logan, OH 43138-1012
Phone (740) 205-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210202003347 OH Part B Supplier - Clinic/Group Practice 8022422096 Receives reassigned benefits from 2 practitioners
Practice locations: Logan, OH

National Provider Directory

National Provider Directory

Locations

1220 W Hunter St
Logan, OH 43138
Phone (740) 205-2999

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1326542507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W HUNTER ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381012",
            "telephone_number": "740-205-2999",
            "fax_number": "740-216-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W HUNTER ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381012",
            "telephone_number": "740-205-2999",
            "fax_number": "740-216-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON BOND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "DEMENT",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "THERAPIST/PRACTICE MANAGER",
        "authorized_official_telephone_number": "740-205-2999",
        "authorized_official_credential": "LPCC-S, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.