Amy Bock, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1200545 Issued in OH

Practice address

1385 King Ave
Columbus, OH 43212-2220

Phone

(716) 866-0510

Fax

(614) 437-7142

NPI assigned

Jun 6, 2013

Last updated

Nov 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• 22 W Main Counseling Group LLP

  • Mental Health Counselor
  • Westerville, OH
  • NPI 1144926643
  NPD Authorized official

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1407294929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 KING AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122220",
            "telephone_number": "716-866-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 KING AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122220",
            "telephone_number": "716-866-0510",
            "fax_number": "614-437-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "AMY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1200545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander A Bobrov, D.O.
• Jared Evan Bobulski, MD
• Gregory Steven Bobulsky, M.D.
• Bocare LLC
• Emily Elizabeth Bochenek
• Sara Elizabeth Bockelman, PHARMD
• Jessica Marie Bockenstedt, MD
• Jason Elliot Bockis, R.PH.
• Haley Bodager
• Emily Elizabeth Bodamer, MSN, APRN, PMHNP-BC

• Mental Health Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.