NPIMap

Organization Active NPI

Shawnee Counseling Center LLC

  • Community/Behavioral Health Agency
  • Portsmouth, OH
National Provider Identifier
1780278705
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHAWNEE COUNSELING CENTER LLC
Practice address
519 Court St
Portsmouth, OH 45662-3933
Phone
(740) 876-4370
Fax
(740) 529-1818
NPI assigned
Feb 22, 2021
Organization subpart
Yes
Parent organization
SHAWNEE COUNSELING CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Holly Gail Fansler, CPC, CPM
Title
Credentialing Manager
Phone
(863) 473-2083

Specialties & licenses 1

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

Addresses

Primary practice location

519 Court St
Portsmouth, OH 45662-3933

Mailing address

519 Court St
Portsmouth, OH 45662-3933
Phone (740) 876-4370

Other practice location 1

1514 6th St
Portsmouth, OH 45662-4406
Phone (740) 876-4370

Other practice location 2

2828 Gallia St
Portsmouth, OH 45662-4809
Phone (740) 876-4370

Other practice location 3

542 6th St
Portsmouth, OH 45662
Phone (740) 876-4370

Other identifiers 1

IdentifierTypeStateIssuer
0353310MedicaidOH

Other names 1

  • Shawnee Counseling Center LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shawnee Counseling Center LLC2 organizations share this tax ID, including this one
Part of
Shawnee Counseling Center LLC

Other organizations with this tax ID 1

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

Locations

1646 Highland Ave
Portsmouth, OH 45662

2828 Gallia St
Portsmouth, OH 45662
Phone (740) 876-4370

Practitioners & affiliated clinicians

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1780278705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 COURT ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623933",
            "telephone_number": "740-876-4370",
            "fax_number": "740-529-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 COURT ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623933",
            "telephone_number": "740-876-4370",
            "fax_number": "740-529-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 6th St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456624406",
            "country_code": "US",
            "telephone_number": "740-876-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2828 Gallia St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456624809",
            "country_code": "US",
            "telephone_number": "740-876-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "542 6th St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "45662",
            "country_code": "US",
            "telephone_number": "740-876-4370",
            "fax_number": "740-529-1818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAWNEE COUNSELING CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAWNEE COUNSELING CENTER LLC",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "FANSLER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "863-473-2083",
        "authorized_official_credential": "CPC, CPM"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353310",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shawnee Counseling Center LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shawnee Counseling Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.