NPIMap

Organization Active NPI

Seneca Counseling and Psychological Services

  • Mental Health Counselor
  • Tiffin, OH
National Provider Identifier
1356631246
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0003431-SUPV Issued in OH
Legal business name
SENECA COUNSELING AND PSYCHOLOGICAL SERVICES
Practice address
120 S Washington St
Suite 209
Tiffin, OH 44883-2840
Phone
(866) 936-8559
Fax
(866) 936-8559
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Dr. Daniel R Cruikshanks, PH.D.NPI 1588717888
Title
Partner
Phone
(866) 936-8559

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X E.0003431-SUPV OH Primary

Addresses

Primary practice location

120 S Washington St
Suite 209
Tiffin, OH 44883-2840

Mailing address

PO Box 1195
Tiffin, OH 44883-7195
Phone (866) 936-8559

National Provider Directory

National Provider Directory

Locations

120 S Washington St
Ste 209
Tiffin, OH 44883
Phone (866) 936-8559

Practitioners & affiliated clinicians

Practitioners 2

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": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1356631246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1195",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448837195",
            "telephone_number": "866-936-8559",
            "fax_number": "866-936-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S WASHINGTON ST",
            "address_2": "SUITE 209",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832840",
            "telephone_number": "866-936-8559",
            "fax_number": "866-936-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA COUNSELING AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "CRUIKSHANKS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "866-936-8559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0003431-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.