NPIMap

Organization Active NPI

Jonathan M. League Private Practice

  • Mental Health Counselor
  • Mason, OH
National Provider Identifier
1649523192
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E. 0004364 Issued in OH
Legal business name
JONATHAN M. LEAGUE PRIVATE PRACTICE
Practice address
6400 Thornberry CT Ste 620
Mason, OH 45040-7818
Phone
(513) 229-8386
Fax
(513) 229-8385
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Mr. Jonathan M. League, LPCC-S, LICDCNPI 1407932296
Title
Owner
Phone
(513) 229-8386

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 021055 OH
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X E. 0004364 OH Primary

Addresses

Primary practice location

6400 Thornberry CT Ste 620
Mason, OH 45040-7818

Mailing address

6400 Thornberry CT Ste 620
Mason, OH 45040-7818
Phone (513) 229-8386

Other names 1

  • Adult, Child, Family Counseling of Mason Doing business as

National Provider Directory

National Provider Directory

Locations

6400 Thornberry Ct
Ste 620
Mason, OH 45040
Phone (513) 229-8386

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1649523192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 THORNBERRY CT STE 620",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407818",
            "telephone_number": "513-229-8386",
            "fax_number": "513-229-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 THORNBERRY CT STE 620",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407818",
            "telephone_number": "513-229-8386",
            "fax_number": "513-229-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN M. LEAGUE PRIVATE PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "LEAGUE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-229-8386",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC-S, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "021055",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E. 0004364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult, Child, Family Counseling of Mason",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.