NPIMap

Organization Active NPI

Counseling Source Inc

  • Mental Health Counselor
  • Blue Ash, OH
National Provider Identifier
1639438518
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COUNSELING SOURCE INC
Practice address
10921 Reed Hartman Hwy
Suite 133
Blue Ash, OH 45242-2830
Phone
(513) 984-9838
Fax
(513) 984-8075
NPI assigned
May 11, 2012
Last updated
May 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Dr. David Frances Turner, PH.D.NPI 1811953920
Title
Owner
Phone
(513) 984-9838

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OH Primary

Addresses

Primary practice location

10921 Reed Hartman Hwy
Suite 133
Blue Ash, OH 45242-2830

Mailing address

10921 Reed Hartman Hwy
Suite 133
Blue Ash, OH 45242-2830
Phone (513) 984-9838

Other identifiers 1

IdentifierTypeStateIssuer
2871567MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170607001140 OH Part B Supplier - Clinic/Group Practice 6709772387 Receives reassigned benefits from 71 practitioners
Practice locations: Blue Ash, OH

National Provider Directory

National Provider Directory
Tax ID family
The Counseling Source Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

10921 Reed Hartman Hwy
Ste 133
Blue Ash, OH 45242
Phone (513) 984-9838

Practitioners & affiliated clinicians

Practitioners 95

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1639438518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 REED HARTMAN HWY",
            "address_2": "SUITE 133",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422830",
            "telephone_number": "513-984-9838",
            "fax_number": "513-984-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 REED HARTMAN HWY",
            "address_2": "SUITE 133",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422830",
            "telephone_number": "513-984-9838",
            "fax_number": "513-984-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SOURCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-984-9838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2871567",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.

Verify at the official NPI Registry.