Individual provider Active NPI

Chris Gerald Sweet, L.P.C.C.

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1396068177
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0004236 Issued in OH
Practice address
3651 Governors Club Blvd
Columbus, OH 43219-3154
Phone
(614) 475-4572
NPI assigned
Mar 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E0004236 OH Primary

Addresses

Primary practice location

3651 Governors Club Blvd
Columbus, OH 43219-3154

Mailing address

3651 Governors Club Blvd
Columbus, OH 43219-3154
Phone (614) 475-4572

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E0004236OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1396068177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 GOVERNORS CLUB BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193154",
            "telephone_number": "614-475-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 GOVERNORS CLUB BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193154",
            "telephone_number": "614-475-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEET",
        "first_name": "CHRIS",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "L.P.C.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0004236",
            "primary": true
        }
    ],
    "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 Mar 8, 2010; 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.