Trisha Owsley, LPCC, LICDC
Individual provider Active NPI Mental Health Counselor · Syracuse, OH
NPI 1487013371 · NPPES record last updated Oct 15, 2021
Key facts
- NPI
- 1487013371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- E.2102183 (OH)
- Practice address
- 2377 Fourth Street
Syracuse, OH 45779-0134 - Phone
- (740) 247-5463
- Fax
- (740) 212-8445
- NPI assigned
- Feb 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ICDC.141052 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.2102183 | OH | MD | Mental Health Counselor |
| C.1500119 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connective Clinical Wellness | Mental Health | Current | Accepting new patients |
| Connective Clinical Counseling | Current | Accepting new patients | |
| Connective Clinical Counseling, LLC | Mental Health | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ICDC.141052 | OH | |
| Professional Counselor | 101YP2500X | C.1500119 | OH | |
| Mental Health Counselor | 101YM0800X | E.2102183 | OH | Yes |
Addresses
Primary practice location
2377 Fourth Street
Syracuse, OH 45779-0134
Mailing address
PO Box 134
Syracuse, OH 45779-0134
Phone (740) 247-5463
Other practice location 1
100 Jackson Pike
Gallipolis, OH 45631-1560
Phone (855) 446-5937
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0439139 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | counseling@connectiveclinical.sprucecare.com |
Other providers in Syracuse, OH
- Connective Clinical Wellness
- Meigs County Board of Developmental Disabilities
- Meigs County Board of MRDD
- Angela Lynn Minshall
- Robert Owsley
- Melissa Lynn Queen
- Megan Corrine Swisher
All providers in Syracuse, OH · Mental Health Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.