NPIMap

Individual provider Active NPI

Jonathan Michael League, LPCC, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Mason, OH
National Provider Identifier
1407932296
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
021055 Issued in OH
Practice address
6400 Thornberry Court
Unite 620
Mason, OH 45040
Phone
(513) 229-8386
Fax
(513) 229-8385
NPI assigned
Oct 27, 2006
Last updated
Oct 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 021055 OH Primary
Professional Counselor 101YP2500X E 4364 OH
Marriage & Family Therapist 106H00000X E 4364 OH

Addresses

Primary practice location

6400 Thornberry Court
Unite 620
Mason, OH 45040

Mailing address

6400 Thornberry Court
Unite 620
Mason, OH 45040
Phone (513) 229-8386

Other identifiers 1

IdentifierTypeStateIssuer
000000477472OtherOHBCBS/ANTHEM ID

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
021055OHMDAddiction (Substance Use Disorder) Counselor
E 4364OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Child Family Counseling of Mason Past Accepting new patients
Jonathan M. League Private Practice Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1407932296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 THORNBERRY COURT",
            "address_2": "UNITE 620",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-229-8386",
            "fax_number": "513-229-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 THORNBERRY COURT",
            "address_2": "UNITE 620",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-229-8386",
            "fax_number": "513-229-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAGUE",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPCC, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "021055",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 4364",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "E 4364",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/ANTHEM ID",
            "identifier": "000000477472",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.