Organization Active NPI

Liberty Counseling & Consultation LLC

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1376054312
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700314 Issued in OH
Legal business name
LIBERTY COUNSELING & CONSULTATION LLC
Doing business as
Liberty Counseling & Consultation LLC
Practice address
4701 Olentangy River Rd Ste 3
Columbus, OH 43214-1939
Phone
(614) 321-9298
Fax
(614) 437-4075
NPI assigned
Oct 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Michelle Cheri Jones, MSW, LISW, LICDCNPI 1124568795
Title
Owner/Operator
Phone
(614) 432-4988

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X I.1700314 OH Primary

Addresses

Primary practice location

4701 Olentangy River Rd Ste 3
Columbus, OH 43214-1939

Mailing address

4840 Loblolly Dr
Canal Winchester, OH 43110-7010
Phone (614) 321-9298

Other practice location 1

4449 Easton Way Ste 200
Columbus, OH 43219-7005
Phone (614) 321-9298

Other names 1

  • Liberty Counseling & Consultation LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4449 Easton Way
Ste 200
Columbus, OH 43219
Phone (614) 619-7959

Practitioners & 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": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1376054312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 LOBLOLLY DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107010",
            "telephone_number": "614-321-9298",
            "fax_number": "614-437-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OLENTANGY RIVER RD STE 3",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141939",
            "telephone_number": "614-321-9298",
            "fax_number": "614-437-4075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4449 Easton Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432197005",
            "country_code": "US",
            "telephone_number": "614-321-9298",
            "fax_number": "614-437-4075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIBERTY COUNSELING & CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "CHERI",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "614-432-4988",
        "authorized_official_credential": "MSW, LISW, LICDC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Counseling & Consultation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.