Intrinsic Connections Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E0008253-SUPV Issued in OH

Legal business name

INTRINSIC CONNECTIONS COUNSELING

Practice address

1016 S High St FL 2
Columbus, OH 43206

Phone

(614) 546-7939

NPI assigned

Oct 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Demetra T Taylor, PHDNPI 1578924312

Title

LPCC-S

Phone

(614) 546-7939

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

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

• Demetra Taylor, PHD

  • Professional Counselor
  • Columbus, OH
  • NPI 1578924312
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1457862401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 S HIGH ST FL 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062567",
            "telephone_number": "614-546-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 S HIGH ST FL 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43206",
            "telephone_number": "614-546-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRINSIC CONNECTIONS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DEMETRA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "LPCC-S",
        "authorized_official_telephone_number": "614-546-7939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0008253-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.