Active NPI
Kennedy Heights Counseling Services
- Point of Service
- Cincinnati, OH
National Provider Identifier
1407300049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- E.1000112
- Legal business name
- KENNEDY HEIGHTS COUNSELING SERVICES
- Practice address
- 3738 Davenant Ave
Cincinnati, OH 45213-2219 - Phone
- (513) 266-9581
- NPI assigned
- Aug 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carrie Beaver, LPCC
- Title
- Licensed Clinical Counselor
- Phone
- (513) 266-9581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | E.1000112 | OH | Primary |
Addresses
Primary practice location
3738 Davenant Ave
Cincinnati, OH 45213-2219
Mailing address
3738 Davenant Ave
Cincinnati, OH 45213-2219
Phone (513) 266-9581
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470873600000",
"number": "1407300049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3738 DAVENANT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452132219",
"telephone_number": "513-266-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3738 DAVENANT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452132219",
"telephone_number": "513-266-9581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNEDY HEIGHTS COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-11",
"last_updated": "2016-08-11",
"status": "A",
"authorized_official_last_name": "BEAVER",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "LICENSED CLINICAL COUNSELOR",
"authorized_official_telephone_number": "513-266-9581",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "OH",
"license": "E.1000112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.