NPIMap

Organization Active NPI

Southeastern Ohio Counseling Center, LLC.

  • Community/Behavioral Health Agency
  • Old Washington, OH
National Provider Identifier
1679844526
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
I050001 Issued in OH
Legal business name
SOUTHEASTERN OHIO COUNSELING CENTER, LLC.
Practice address
239A Old National Rd
Old Washington, OH 43768
Phone
(740) 489-5571
Fax
(740) 489-5004
NPI assigned
Jan 24, 2012
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Amanda L McGlumphy, MSW, LISW-SNPI 1356607378
Title
Clinical Director
Phone
(740) 260-9440

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
Community/Behavioral Health Agency 251S00000X I050001 OH Primary

Addresses

Primary practice location

239A Old National Rd
Old Washington, OH 43768

Mailing address

PO Box 94
Old Washington, OH 43768-0094
Phone (740) 260-9440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151221001732 OH Part B Supplier - Clinic/Group Practice 0042511834 Receives reassigned benefits from 12 practitioners
Practice locations: Old Washington, OH

National Provider Directory

National Provider Directory
Tax ID family
Southeastern Ohio Counseling Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 96

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 96

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1679844526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "OLD WASHINGTON",
            "state": "OH",
            "postal_code": "437680094",
            "telephone_number": "740-260-9440",
            "fax_number": "740-432-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239A OLD NATIONAL RD",
            "city": "OLD WASHINGTON",
            "state": "OH",
            "postal_code": "43768",
            "telephone_number": "740-489-5571",
            "fax_number": "740-489-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN OHIO COUNSELING CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "MCGLUMPHY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "740-260-9440",
        "authorized_official_credential": "MSW, LISW-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "I050001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Washington, OH

Sources for this page

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

Verify at the official NPI Registry.