Organization Active NPI

Terry Southwick & Associates LLC

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1487938189
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E1705 Issued in OH
Legal business name
TERRY SOUTHWICK & ASSOCIATES LLC
Practice address
136 Northwoods Blvd
Columbus, OH 43235-4728
Phone
(614) 296-6163
Fax
(614) 725-1651
NPI assigned
Sep 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Terry Southwick, LPCC
Title
Owner
Phone
(614) 296-6163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X E1705 OH Primary

Addresses

Primary practice location

136 Northwoods Blvd
Columbus, OH 43235-4728

Mailing address

403 Arden Rd
Columbus, OH 43214-3764
Phone (614) 296-6163

National Provider Directory

National Provider Directory

Locations

136 Northwoods Blvd
Columbus, OH 43235
Phone (614) 433-7272

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1487938189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 ARDEN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143764",
            "telephone_number": "614-296-6163",
            "fax_number": "614-725-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 NORTHWOODS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354728",
            "telephone_number": "614-296-6163",
            "fax_number": "614-725-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY SOUTHWICK & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "SOUTHWICK",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-296-6163",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.