Active NPI
Delong, Peterson & Associates, Clinical Consulting Specialists, LLC
- Mental Health Counselor
- Greenville, OH
National Provider Identifier
1437633484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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.
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.