Johnathon Daniel Couri, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0034093 Issued in OH

Practice address

1466 Northwest Blvd
Columbus, OH 43212-3063

Phone

(614) 598-9960

NPI assigned

Jun 15, 2023

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Clinic 5 LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Columbus, OH
  • NPI 1407491970
  NPD
• New Amsterdam Wellness Company, LLC

  dba Middletown Wellness Center

  • Addiction Medicine (Preventive Medicine) Physician
  • Middletown, OH
  • NPI 1407668007
  NPD

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1730863028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 NORTHWEST BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123063",
            "telephone_number": "614-598-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 NORTHWEST BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123063",
            "telephone_number": "614-598-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURI",
        "first_name": "JOHNATHON",
        "middle_name": "DANIEL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0034093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Franklin Ohio (Adamh Board of Franklin County)
• County of Franklin Ohio
• County of Franklin Ohio
• Countycare,LLC
• Couple a Healthcare Services LLC
• Reese Courington, MD
• Bailey Nichole Coursen, MD
• Jeffrey Coursen, MD
• Maria Chrisan Courser, M.D.
• Annie Courtemanche

• Psychiatric/Mental Health Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.