TCP of Ohio, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

TCP OF OHIO, LLC

Practice address

8479 S. Mason Montgomery Road
Suite 4
Mason, OH 45040-4023

Phone

(513) 443-2180

Fax

(513) 725-1141

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Stefanie Ann Lorentz

Title

Credentialing Manager

Phone

(513) 413-1203

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Brandy Danielle Niemiller, LISW-S

  • Clinical Social Worker
  • Mason, OH
  • NPI 1588140420
  NPD (past)
• Eleanor Anne Volk, LISW

  • Clinical Social Worker
  • Mason, OH
  • NPI 1689896565
  NPD (past)

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1366957003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8479 S. MASON MONTGOMERY ROAD",
            "address_2": "SUITE 4",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450404023",
            "telephone_number": "513-443-2180",
            "fax_number": "513-725-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8479 S. MASON MONTGOMERY ROAD",
            "address_2": "SUITE 4",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450404023",
            "telephone_number": "513-443-2180",
            "fax_number": "513-725-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCP OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "LORENTZ",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "513-413-1203",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Windle J Taylor II, LPTA
• Kathryn Tell, RBT
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• Counselor in Mason, OH
• Providers in Mason, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.