Organization Active NPI

Northwest Mental Health Services

  • Community/Behavioral Health Agency
  • Columbus, OH
National Provider Identifier
1629337308
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTHWEST MENTAL HEALTH SERVICES
Practice address
1560 Fishinger Rd
Columbus, OH 43221-2108
Phone
(614) 457-7876
Fax
(614) 457-1040
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Hollie Goldberg, LISW-S
Title
Executive Director
Phone
(614) 457-7876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OH Primary

Addresses

Primary practice location

1560 Fishinger Rd
Columbus, OH 43221-2108

Mailing address

1560 Fishinger Rd
Columbus, OH 43221-2108
Phone (614) 457-7876

Other identifiers 1

IdentifierTypeStateIssuer
2863861MedicaidOH

Other names 1

  • Northwest Counseling Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest Counseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1629337308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 FISHINGER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212108",
            "telephone_number": "614-457-7876",
            "fax_number": "614-457-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 FISHINGER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212108",
            "telephone_number": "614-457-7876",
            "fax_number": "614-457-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-457-7876",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2863861",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.