Comprehensive Psychological Counseling,Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0007251 Issued in OH

Legal business name

COMPREHENSIVE PSYCHOLOGICAL COUNSELING,INC

Practice address

7575 Fredle Dr
Suite 102
Concord TWP, OH 44077-9413

Phone

(440) 725-9801

Fax

(440) 358-0058

NPI assigned

Aug 6, 2014

Last updated

Jun 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lauren Carter, LISW

Title

Owner

Phone

(440) 725-9801

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1386053114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 FREDLE DR",
            "address_2": "SUITE 102",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779413",
            "telephone_number": "440-725-9801",
            "fax_number": "440-358-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 FREDLE DR",
            "address_2": "SUITE 102",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779413",
            "telephone_number": "440-725-9801",
            "fax_number": "440-358-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PSYCHOLOGICAL COUNSELING,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-725-9801",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0007251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Concord TWP, OH
• Providers in Concord TWP, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.