Ohio Army National Guard

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0922648 Issued in OH

Legal business name

OHIO ARMY NATIONAL GUARD

Practice address

3990 E Broad St
DSCC, Building 11, Sec.11
Columbus, OH 43213-1152

Phone

(614) 336-7393

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

David Isaac Kirker, LISW

Title

Clinical Therapist/Social Worker

Phone

(614) 336-7393

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1598175010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 E BROAD ST",
            "address_2": "DSCC, BUILDING 11, SEC.11",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 E BROAD ST",
            "address_2": "DSCC, BUILDING 11, SEC.11",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131152",
            "telephone_number": "614-336-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO ARMY NATIONAL GUARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "KIRKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "CLINICAL THERAPIST/SOCIAL WORKER",
        "authorized_official_telephone_number": "614-336-7393",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "0900648",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "0922648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ohio Addiction Management LLC (Carex Behavioral Health)
• Ohio Adult Day Center LLC
• Ohio Adults Step Up to Quality Daycare Corp.
• Ohio Aging Services Network
• Ohio Anesthesia Professionals LLC
• Ohio Autism Treatment LLC
• Ohio Birth Center
• Ohio Birth Center
• Ohio Care Spirit, LLC
• Ohio Caregiving Solutions LLC

• Community/Behavioral Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.