Second Chance Counseling Center, Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SECOND CHANCE COUNSELING CENTER, INC.

Practice address

6011 Columbus Pike
Lewis Center, OH 43035-8494

Phone

(614) 635-9011

Fax

(614) 635-9014

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Bernard C O'Reilly, MSW, LSW. LICDC

Title

Clinical Director

Phone

(614) 635-9011

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Jacott, LISW

  • Counselor
  • Lewis Center, OH
  • NPI 1700051620
  NPD (past)

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1609046572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 COLUMBUS PIKE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358494",
            "telephone_number": "614-635-9011",
            "fax_number": "614-635-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 COLUMBUS PIKE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358494",
            "telephone_number": "614-635-9011",
            "fax_number": "614-635-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "O'REILLY",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "614-635-9011",
        "authorized_official_credential": "MSW, LSW. LICDC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Leann Saylor, APRN
• Sage Scarbrough
• Ashlee Schmitt
• Kelly Leigh Scholl, CNP
• James Kevin Schramm, DC
• Asiatu Seisay
• Nicole BH Sellan, BA
• Mary Shadoan
• Emily Shafer, ED.S.
• Ravin Pravinkumar Shah, DPT

• Counselor in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.