Individual provider Active NPI

Clinton B Symons, LPCC-S

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1427336999
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0701177-SUPV Issued in OH
Practice address
6468 Grand Vista Ave
Cincinnati, OH 45213-1118
Phone
(513) 238-9944
NPI assigned
Aug 1, 2011
Last updated
May 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.0701177-SUPV OH Primary

Addresses

Primary practice location

6468 Grand Vista Ave
Cincinnati, OH 45213-1118

Mailing address

6468 Grand Vista Ave
Cincinnati, OH 45213-1118
Phone (513) 238-9944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410001691 OH Practitioner - Mental Health Counselor 5294173290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

2135 Dana Ave
Suite 200
Cincinnati, OH 45207-1327
Phone (216) 468-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.0701177-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince Feb 24, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

2135 Dana Ave
Ste 200
Cincinnati, OH 45207

2135 Dana Ave
Ste 220
Cincinnati, OH 45207
Phone (513) 662-3400

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

Organizations & group practices 1

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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1427336999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6468 GRAND VISTA AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452131118",
            "telephone_number": "513-238-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6468 GRAND VISTA AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452131118",
            "telephone_number": "513-238-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMONS",
        "first_name": "CLINTON",
        "middle_name": "B",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0701177-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.