Active NPI
Mrudula Josyula
- Mental Health Counselor
- Cincinnati, OH
National Provider Identifier
1508475161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C2002608-TRNE
- Practice address
- 311 Albert Sabin Way
Cincinnati, OH 45229-2838 - Phone
- (513) 558-9006
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C2002608-TRNE | OH | Primary |
Addresses
Primary practice location
311 Albert Sabin Way
Cincinnati, OH 45229-2838
Mailing address
311 Albert Sabin Way
Cincinnati, OH 45229-2838
Phone (513) 558-9006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C.2002608-TRNE | Other | OH | COUNSELOR TRAINEE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2002608-TRNE | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1508475161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 ALBERT SABIN WAY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452292838",
"telephone_number": "513-558-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 ALBERT SABIN WAY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452292838",
"telephone_number": "513-558-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSYULA",
"first_name": "MRUDULA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-29",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C2002608-TRNE",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELOR TRAINEE",
"identifier": "C.2002608-TRNE",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.