Active NPI
Tiara Kendrick
- Counselor
- Columbus, OH
National Provider Identifier
1790169332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E.1901153
- Practice address
- 1335 Dublin Rd
Suite 205 C
Columbus, OH 43215-1000 - Phone
- (614) 437-9910
- NPI assigned
- Jul 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | C.1500460-TRNE | OH | |
| Counselor | 101Y00000X | E.1901153 | OH | Primary |
Addresses
Primary practice location
1335 Dublin Rd
Suite 205 C
Columbus, OH 43215-1000
Mailing address
1855 E Dublin Granville Rd Ste 200
Columbus, OH 43229-3516
Phone (614) 267-7003
Other practice location 1
1855 E Dublin Granville Rd
Columbus, OH 43229-3516
Phone (614) 267-7003
Other names 1
- Mrs. Tiara Dawkins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1901153 | OH | MD | Counselor |
| C.1500460-TRNE | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zion Counseling and Wellness Enrichment Center, LLC | Current | Accepting new patients |
Locations
2323 W 5th Ave
Ste 120
Columbus, OH 43204
Phone (380) 219-0738
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Columbus, OH
- NPI 1548090558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1790169332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 E DUBLIN GRANVILLE RD STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432293516",
"telephone_number": "614-267-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 DUBLIN RD",
"address_2": "SUITE 205 C",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151000",
"telephone_number": "614-437-9910"
}
],
"practiceLocations": [
{
"address_1": "1855 E Dublin Granville Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432293516",
"country_code": "US",
"telephone_number": "614-267-7003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENDRICK",
"first_name": "TIARA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "C.1500460-TRNE",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E.1901153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIARA",
"last_name": "DAWKINS",
"prefix": "MRS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.