NPIMap

Organization Active NPI

Olive Branch Family Counseling, LLC

  • Community/Behavioral Health Agency
  • Gahanna, OH
National Provider Identifier
1700220688
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2090322 Issued in OH
Legal business name
OLIVE BRANCH FAMILY COUNSELING, LLC
Practice address
121 Town St
Gahanna, OH 43230-3023
Phone
(614) 537-0014
Fax
(614) 567-3167
NPI assigned
Apr 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Tonya Lyn Heft
Title
Member
Phone
(614) 537-0014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2090322 OH Primary

Addresses

Primary practice location

121 Town St
Gahanna, OH 43230-3023

Mailing address

121 Town St
Gahanna, OH 43230-3023
Phone (614) 537-0014

National Provider Directory

National Provider Directory

Locations

121 Town St
Gahanna, OH 43230
Phone (614) 537-0014

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": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1700220688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 TOWN ST",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303023",
            "telephone_number": "614-537-0014",
            "fax_number": "614-567-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 TOWN ST",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303023",
            "telephone_number": "614-537-0014",
            "fax_number": "614-567-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "HEFT",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-537-0014"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "2090322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.