NPIMap

Organization Active NPI

Sojourners Counseling Services

  • Counselor
  • Mount Vernon, OH
National Provider Identifier
1720334949
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E 0500681 Issued in OH
Legal business name
SOJOURNERS COUNSELING SERVICES
Practice address
111 A South Mulberry St
Mount Vernon, OH 43050-3510
Phone
(740) 393-6001
Fax
(740) 393-6040
NPI assigned
Jul 25, 2012
Last updated
Apr 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Mr. Kyle Kershner, PCC-S NCC LICDCNPI 1568785236
Title
Owner
Phone
(740) 393-6001

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
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X E 0500681 OH Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 081270 OH

Addresses

Primary practice location

111 A South Mulberry St
Mount Vernon, OH 43050-3510

Mailing address

111 A South Mulberry St
Mount Vernon, OH 43050
Phone (740) 393-6001

National Provider Directory

National Provider Directory

Locations

111 S Mulberry St
Mount Vernon, OH 43050
Phone (740) 393-6001

111A S Mulberry St
Mount Vernon, OH 43050
Phone (740) 393-6001

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1720334949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 A SOUTH MULBERRY ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "43050",
            "telephone_number": "740-393-6001",
            "fax_number": "740-393-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 A SOUTH MULBERRY ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503510",
            "telephone_number": "740-393-6001",
            "fax_number": "740-393-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOJOURNERS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "KERSHNER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-393-6001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PCC-S NCC LICDC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "E 0500681",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "081270",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.