Individual provider Active NPI

N. Caroline Aguilar Kugajevsky, LPC

  • Mental Health Counselor
  • Dublin, OH
National Provider Identifier
1689192064
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C1700338 Issued in OH
Practice address
270 Bradenton Ave Ste 110
Dublin, OH 43017-7586
Phone
(614) 263-8161
Fax
(614) 263-8161
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C1700338 OH Primary

Addresses

Primary practice location

270 Bradenton Ave Ste 110
Dublin, OH 43017-7586

Mailing address

270 Bradenton Ave Ste 110
Dublin, OH 43017-7586
Phone (614) 263-8161

Other practice location 1

3620 N High St Ste 107
Columbus, OH 43214-3693
Phone (614) 263-8161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C1700338OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Counseling Group, LLC Mental Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689192064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 BRADENTON AVE STE 110",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177586",
            "telephone_number": "614-263-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BRADENTON AVE STE 110",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177586",
            "telephone_number": "614-263-8161",
            "fax_number": "614-263-8161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 N High St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143693",
            "country_code": "US",
            "telephone_number": "614-263-8161",
            "fax_number": "614-263-8161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILAR KUGAJEVSKY",
        "first_name": "N. CAROLINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1700338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.