Individual provider Active NPI

Philip Mark Paulucci, MSW

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1376649236
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0001043 Issued in OH
Practice address
5151 Reed Road
BLDG C Suite 128 Central Ohio Behavioral Medicine Inc
Columbus, OH 43220-2553
Phone
(614) 538-8300
Fax
(614) 538-1656
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0001043 OH Primary
Clinical Social Worker 1041C0700X I0001390 OH

Addresses

Primary practice location

5151 Reed Road
BLDG C Suite 128 Central Ohio Behavioral Medicine Inc
Columbus, OH 43220-2553

Mailing address

1953 Samada Ave
Worthington, OH 43085-3471
Phone (614) 431-9747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0001043OHMDProfessional Counselor
I0001390OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Behavioral Medicine Inc Clinical CurrentSince Aug 1, 1997 Accepting new patients

Locations

2000 Henderson Rd
Ste 325
Columbus, OH 43220
Phone (614) 538-8300

5151 Reed Rd
Bldg C
Columbus, OH 43220
Phone (614) 538-8300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1376649236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 SAMADA AVE",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853471",
            "telephone_number": "614-431-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 REED ROAD",
            "address_2": "BLDG C SUITE 128 CENTRAL OHIO BEHAVIORAL MEDICINE INC",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202553",
            "telephone_number": "614-538-8300",
            "fax_number": "614-538-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULUCCI",
        "first_name": "PHILIP",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0001043",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0001390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 2025; 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.