Edmiston Counseling LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

EDMISTON COUNSELING LLC

Practice address

261 W Johnstown Rd Ste 211
Gahanna, OH 43230-3094

Phone

(614) 407-5312

NPI assigned

May 5, 2020

Last updated

May 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Anne Edmiston, MSW, LISWNPI 1972124303

Title

Licensed Independent Social Worker

Phone

(614) 407-5312

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Anne Edmiston, MSW, LISW

  • Clinical Social Worker
  • Gahanna, OH
  • NPI 1972124303
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1528689197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 W JOHNSTOWN RD STE 211",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303094",
            "telephone_number": "614-407-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 W JOHNSTOWN RD STE 211",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303094",
            "telephone_number": "614-407-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMISTON COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "EDMISTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "LICENSED INDEPENDENT SOCIAL WORKER",
        "authorized_official_telephone_number": "614-407-5312",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebe Healthcare, LLC
• Sasha Eby, DMD
• Echo Hospice of Ohio, LLC
• Melissa L. Edelmayer, MSW, LISW-S, LICDC
• Barbara Edison, LPN
• Mary Anne Edmiston, MSW, LISW
• Mashavu Edmondson, MT
• Jessica Lyn Edwards, PT, DPT
• Charity Eichar
• Alexandra Elder, MD

• Adult Mental Health Clinic/Center in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Adult Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.