Active NPI
Conscious Connections Counseling, LLC
- Mental Health Counselor
- Reynoldsburg, OH
National Provider Identifier
1346018637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CONSCIOUS CONNECTIONS COUNSELING, LLC
- Practice address
- 300 Deer Trail Rd
Reynoldsburg, OH 43068-9712 - Phone
- (614) 306-5694
- NPI assigned
- Dec 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cara Sussman, LPCC-S
- Title
- Owner/Clinician
- Phone
- (614) 306-5694
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
300 Deer Trail Rd
Reynoldsburg, OH 43068-9712
Mailing address
300 Deer Trail Rd
Reynoldsburg, OH 43068-9712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1702598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702598400000",
"number": "1346018637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 DEER TRAIL RD",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430689712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 DEER TRAIL RD",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430689712",
"telephone_number": "614-306-5694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSCIOUS CONNECTIONS COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-15",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A",
"authorized_official_last_name": "SUSSMAN",
"authorized_official_first_name": "CARA",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "614-306-5694",
"authorized_official_credential": "LPCC-S"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.