Individual provider Active NPI

Tiara Kendrick

  • Counselor
  • Columbus, OH
National Provider Identifier
1790169332
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.1901153 Issued in OH
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

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
E.1901153OHMDCounselor
C.1500460-TRNEOHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.