Organization Active NPI

Three C Counseling, LLC

  • Community/Behavioral Health Agency
  • Mansfield, OH
National Provider Identifier
1760871222
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THREE C COUNSELING, LLC
Practice address
13 Park Ave W
400
Mansfield, OH 44902-1714
Phone
(419) 522-5015
NPI assigned
Jan 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Timothy Batdorf
Title
Owner
Phone
(419) 522-5015

Specialties & licenses 1

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

Addresses

Primary practice location

13 Park Ave W
400
Mansfield, OH 44902-1714

Mailing address

13 Park Ave W
400
Mansfield, OH 44902-1714
Phone (419) 522-5015

Other identifiers 1

IdentifierTypeStateIssuer
13190MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Three C Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13 Park Ave W
Ste 400
Mansfield, OH 44902
Phone (419) 522-5015

Practitioners & affiliated clinicians

Practitioners 2

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": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1760871222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PARK AVE W",
            "address_2": "400",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449021714",
            "telephone_number": "419-522-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PARK AVE W",
            "address_2": "400",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449021714",
            "telephone_number": "419-522-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE C COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "BATDORF",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-522-5015"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13190",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.