Active NPI
Patsy Deerhake, LOCC
- Professional Counselor
- Gahanna, OH
National Provider Identifier
1407059322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E-0001020
- Practice address
- 211 W Johnstown Rd
Gahanna, OH 43230-2732 - Phone
- (614) 337-2535
- Fax
- (614) 337-7028
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E-0001020 | OH | Primary |
Addresses
Primary practice location
211 W Johnstown Rd
Gahanna, OH 43230-2732
Mailing address
391 Meadowlark LN
Columbus, OH 43214-1244
Phone (614) 562-6317
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
| License | State | Type | Specialty |
|---|---|---|---|
| E-0001020 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407059322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 MEADOWLARK LN",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141244",
"telephone_number": "614-562-6317",
"fax_number": "614-337-7028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 W JOHNSTOWN RD",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432302732",
"telephone_number": "614-337-2535",
"fax_number": "614-337-7028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEERHAKE",
"first_name": "PATSY",
"credential": "LOCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E-0001020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.