Active NPI
Philip Mark Paulucci, MSW
- Professional Counselor
- Columbus, OH
National Provider Identifier
1376649236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0001043
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| E0001043 | OH | MD | Professional Counselor |
| I0001390 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Behavioral Medicine Inc | Clinical | Current | 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.
-
- Clinical Social Worker
- Columbus, OH
- NPI 1508936204
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.