Elizabeth Kakungulu Clinical Counseling Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELIZABETH KAKUNGULU CLINICAL COUNSELING SERVICES LLC

Practice address

4100 Horizons Dr Ste 213
Columbus, OH 43220-0019

Phone

(614) 858-5100

Fax

(614) 858-5180

NPI assigned

Jul 14, 2022

Organization subpart

No

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

Authorized official

Name

Elizabeth Kakungulu, LISW-SNPI 1427408541

Title

Owner

Phone

(614) 858-5100

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.

• Elizabeth Kakungulu, LISW-S

  • Social Worker
  • Columbus, OH
  • NPI 1427408541
  NPD Authorized official

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1619601655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 HORIZONS DR STE 213",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200019",
            "telephone_number": "614-858-5100",
            "fax_number": "161-485-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HORIZONS DR STE 213",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200019",
            "telephone_number": "614-858-5100",
            "fax_number": "614-858-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH KAKUNGULU CLINICAL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "KAKUNGULU",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-858-5100",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Adult Daycare Corporation
• Siema A Eljack, LSW
• Mohamed Elkady, MD
• Lior Elkaim
• Fadel Shukri Elkhairi, M.D.
• Elmahdi A. Elkhammas, MD

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.