NPIMap

Organization Active NPI

Counseling Center for Wellness LLC

  • Professional Counselor
  • Lima, OH
National Provider Identifier
1376589812
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-0002118 Issued in OH
Legal business name
COUNSELING CENTER FOR WELLNESS LLC
Practice address
222 S West St
Lima, OH 45801-4842
Phone
(419) 222-7180
Fax
(419) 228-8439
NPI assigned
Jun 22, 2006
Last updated
Apr 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Dale R Agnew, MSW, LISW-S, LCDC-IINPI 1790820272
Title
Owner
Phone
(419) 222-7180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X E-0002118 OH Primary

Addresses

Primary practice location

222 S West St
Lima, OH 45801-4842

Mailing address

222 S West St
Lima, OH 45801-4842
Phone (419) 222-7180

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1376589812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014842",
            "telephone_number": "419-222-7180",
            "fax_number": "419-228-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014842",
            "telephone_number": "419-222-7180",
            "fax_number": "419-228-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER FOR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "AGNEW",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-222-7180",
        "authorized_official_credential": "MSW, LISW-S, LCDC-II"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-0002118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.