Psychotherapy & Addiction Srvcs., Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E0000363 Issued in OH

Legal business name

PSYCHOTHERAPY & ADDICTION SRVCS., INC.

Practice address

7086 Corporate Way
Centerville, OH 45459-4224

Phone

(937) 435-5200

Fax

(937) 435-5200

NPI assigned

Dec 21, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kathy Sowder, LPCC, CCDC, III ENPI 1023094067

Title

Owner

Phone

(937) 435-5200

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathy Sowder, LPCC, CCDC, III E

  • Addiction (Substance Use Disorder) Counselor
  • Centerville, OH
  • NPI 1023094067
  NPD (past) Authorized official

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356327308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7086 CORPORATE WAY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594224",
            "telephone_number": "937-435-5200",
            "fax_number": "937-435-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7086 CORPORATE WAY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594224",
            "telephone_number": "937-435-5200",
            "fax_number": "937-435-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY & ADDICTION SRVCS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOWDER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-435-5200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC, CCDC, III E"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0000363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000016169",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "0000073621",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OH",
            "identifier": "520502648000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7379058",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "180942",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Centerville, OH
• Providers in Centerville, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.