Organization Active NPI

Delong, Peterson & Associates, Clinical Consulting Specialists, LLC

  • Mental Health Counselor
  • Greenville, OH
National Provider Identifier
1437633484
Registry record updated Sep 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DELONG, PETERSON & ASSOCIATES, CLINICAL CONSULTING SPECIALISTS, LLC
Practice address
607 S Broadway St
Greenville, OH 45331-1929
Phone
(419) 305-7213
Fax
(937) 547-9175
NPI assigned
Sep 16, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Ronald L Delong, PH.D.NPI 1477855567
Title
Owner
Phone
(419) 305-7213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

607 S Broadway St
Greenville, OH 45331-1929

Mailing address

607 S Broadway St
Greenville, OH 45331-1929
Phone (419) 305-7213

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2018.

{
    "created_epoch": "1537056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537056000000",
    "number": "1437633484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S BROADWAY ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311929",
            "telephone_number": "419-305-7213",
            "fax_number": "937-547-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S BROADWAY ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311929",
            "telephone_number": "419-305-7213",
            "fax_number": "937-547-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELONG, PETERSON & ASSOCIATES, CLINICAL CONSULTING SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-16",
        "last_updated": "2018-09-16",
        "status": "A",
        "authorized_official_last_name": "DELONG",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-305-7213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.