Organization Active NPI

Killian Counseling LLC

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1699303669
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KILLIAN COUNSELING LLC
Practice address
2700 E Main St Ste 106
Columbus, OH 43209-2536
Phone
(937) 361-4457
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Vickie Killian, LISW-SNPI 1538232103
Title
Sole Member
Phone
(937) 361-4457

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2700 E Main St Ste 106
Columbus, OH 43209-2536

Mailing address

263 Spring Hollow LN
Westerville, OH 43081-1159
Phone (937) 361-4457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200914000098 OH Part B Supplier - Clinic/Group Practice 1052739786 Receives reassigned benefits from 1 practitioner
Practice locations: Dublin, OH

National Provider Directory

National Provider Directory

Locations

6055 Tain Dr
Ste 201
Dublin, OH 43017
Phone (937) 361-4457

Practitioners & affiliated clinicians

Practitioners 1

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": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1699303669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 SPRING HOLLOW LN",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811159",
            "telephone_number": "937-361-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E MAIN ST STE 106",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092536",
            "telephone_number": "937-361-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLIAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "937-361-4457",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.