Active NPI
Courtney Wade, LPCC
- Professional Counselor
- Columbus, OH
National Provider Identifier
1629430277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1800783
- Practice address
- 1142 S High St
Columbus, OH 43206-3467 - Phone
- (614) 827-1307
- Fax
- (614) 267-0145
- NPI assigned
- Mar 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C1400004 | OH | |
| Professional Counselor | 101YP2500X | E.1800783 | OH | Primary |
Addresses
Primary practice location
1142 S High St
Columbus, OH 43206-3467
Mailing address
5528 Echo Rd
Columbus, OH 43230-1105
Phone (740) 973-7827
Other practice location 1
320 Executive Dr
Marion, OH 43302-6310
Phone (740) 387-5210
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
| License | State | Type | Specialty |
|---|---|---|---|
| C1400004 | OH | MD | Counselor |
| E.1800783 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Columbus, OH
- NPI 1801838388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1629430277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5528 ECHO RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432301105",
"telephone_number": "740-973-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 S HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432063467",
"telephone_number": "614-827-1307",
"fax_number": "614-267-0145"
}
],
"practiceLocations": [
{
"address_1": "320 Executive Dr",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "OH",
"postal_code": "433026310",
"country_code": "US",
"telephone_number": "740-387-5210",
"fax_number": "740-387-3472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WADE",
"first_name": "COURTNEY",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-23",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C1400004",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1800783",
"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 Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.