Individual provider Active NPI

Amy Avery, LPCC

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1629409479
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1400012 Issued in OH
Practice address
1900 Polaris Pkwy Ste 450
Columbus, OH 43240-4064
Phone
(614) 905-1868
Fax
(614) 416-0345
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Professional Counselor 101YP2500X E.1400012 OH Primary

Addresses

Primary practice location

1900 Polaris Pkwy Ste 450
Columbus, OH 43240-4064

Mailing address

9230 Rami Ave
Columbus, OH 43240-2158
Phone (614) 905-1868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.1400012OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Avery Counseling Solutions LLC Mental Health CurrentSince Sep 1, 2019 Accepting new patients
Michael Perciful Dba Counseling Solutions PastSince Sep 1, 2019 Accepting new patients

Locations

1900 Polaris Pkwy
Ste 450
Columbus, OH 43240
Phone (614) 423-9352

1900 Polaris Pkwy
Ste 450AACS
Columbus, OH 43240

8862 Commerce Loop Dr
Columbus, OH 43240
Phone (614) 209-5582

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1629409479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 RAMI AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402158",
            "telephone_number": "614-905-1868",
            "fax_number": "614-416-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 POLARIS PKWY STE 450",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404064",
            "telephone_number": "614-905-1868",
            "fax_number": "614-416-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "AMY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1400012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 7, 2023; 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.