Active NPI
Guiding Grace Counseling LLC
- Mental Health Counselor
- Dover, OH
National Provider Identifier
1639325871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GUIDING GRACE COUNSELING LLC
- Practice address
- 547 1/2 S James St
Dover, OH 44622-2137 - Phone
- (330) 343-7400
- Fax
- (330) 343-7414
- NPI assigned
- Aug 7, 2008
- 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
- Mrs. Connie Lee Wallace, LPCC-S, CTT
- Title
- Owner/Director
- Phone
- (330) 343-7400
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 | OH | Primary |
Addresses
Primary practice location
547 1/2 S James St
Dover, OH 44622-2137
Mailing address
PO Box 534
New Philadelphia, OH 44663-0534
Phone (330) 343-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090626000352 | OH | Part B Supplier - Clinic/Group Practice | 2466503776 |
Receives reassigned benefits from 2 practitioners Practice locations: Dover, OH |
National Provider Directory
National Provider DirectoryLocations
547 S James St
Dover, OH 44622
Phone (330) 343-7400
1347 4th St NW
New Philadelphia, OH 44663
Phone (330) 343-7400
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Wooster, OH
- NPI 1558809988
-
- Psychiatric/Mental Health Nurse Practitioner
- Canton, OH
- NPI 1093747784
-
- Professional Counselor
- New Philadelphia, OH
- NPI 1528297066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456790400000",
"number": "1639325871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 534",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "446630534",
"telephone_number": "330-343-7400",
"fax_number": "330-343-7414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "547 1/2 S JAMES ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446222137",
"telephone_number": "330-343-7400",
"fax_number": "330-343-7414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUIDING GRACE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-07",
"last_updated": "2016-03-01",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "330-343-7400",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPCC-S, CTT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.