Active NPI
Orleans Psychological Services
- Mental Health Counselor
- Powell, OH
National Provider Identifier
1629587126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6721
- Legal business name
- ORLEANS PSYCHOLOGICAL SERVICES
- Practice address
- 35 W Olentangy Street
Powell, OH 43065 - Phone
- (614) 436-4457
- Fax
- (614) 407-9648
- NPI assigned
- Sep 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy M Luis, PHD
- Title
- Clinical Psychologist
- Phone
- (614) 436-4457
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6721 | OH | Primary |
Addresses
Primary practice location
35 W Olentangy Street
Powell, OH 43065
Mailing address
35 W Olentangy St
Powell, OH 43065-8717
Phone (614) 436-4457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171101002795 | OH | Part B Supplier - Clinic/Group Practice | 7517233356 |
Receives reassigned benefits from 3 practitioners Practice locations: Powell, OH |
National Provider Directory
National Provider DirectoryLocations
35 W Olentangy St
Powell, OH 43065
Phone (614) 436-4457
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Psychiatric/Mental Health Registered Nurse
- Columbus, OH
- NPI 1629174586
OH
-
- Social Worker
- Columbus, OH
- NPI 1245514314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1629587126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 W OLENTANGY ST",
"city": "POWELL",
"state": "OH",
"postal_code": "430658717",
"telephone_number": "614-436-4457",
"fax_number": "614-407-9648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 W OLENTANGY STREET",
"city": "POWELL",
"state": "OH",
"postal_code": "43065",
"telephone_number": "614-436-4457",
"fax_number": "614-407-9648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLEANS PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LUIS",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "614-436-4457",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "6721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.