Organization Active NPI

Personal Wellness Counseling and Consulting, LLC

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1376194746
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PERSONAL WELLNESS COUNSELING AND CONSULTING, LLC
Practice address
7504 Perry St Unit 317661
Cincinnati, OH 45231-7527
Phone
(513) 549-6463
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Brian Stump, CSWNPI 1427512292
Title
President
Phone
(513) 403-1061

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7504 Perry St Unit 317661
Cincinnati, OH 45231-7527

Mailing address

7504 Perry St Unit 317661
Cincinnati, OH 45231-7527
Phone (513) 403-1061

Other identifiers 1

IdentifierTypeStateIssuer
APPLYINGOtherAPPLYING TO PANELS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brian@personalwellnesscounseling.com

National Provider Directory

National Provider Directory

Locations

10999 Reed Hartman Hwy
Ste 304D
Blue Ash, OH 45242
Phone (513) 549-6463

7504 Perry St
Unit 317661
Cincinnati, OH 45231
Phone (513) 403-1061

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": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1376194746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 PERRY ST UNIT 317661",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452317527",
            "telephone_number": "513-403-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 PERRY ST UNIT 317661",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452317527",
            "telephone_number": "513-549-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL WELLNESS COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "STUMP",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-403-1061",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLYING TO PANELS",
            "identifier": "APPLYING",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian@personalwellnesscounseling.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "10999 Reed Hartman Hwy Ste 304D",
            "city": "Blue Ash",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452428300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.