Organization Active NPI

Fit for Life Counseling LLC

  • Clinic/Center
  • London, OH
National Provider Identifier
1811495849
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FIT FOR LIFE COUNSELING LLC
Practice address
1375 US Highway 42 SE Ste C
London, OH 43140-9548
Phone
(740) 845-8652
Fax
(614) 503-0899
NPI assigned
Jan 24, 2018
Last updated
Feb 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Authorized official

Name
Ryan Van PeltNPI 1891235784
Title
Authorized Official
Phone
(419) 773-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1375 US Highway 42 SE Ste C
London, OH 43140-9548

Mailing address

1115 Bethel Rd
Columbus, OH 43220-2690

National Provider Directory

National Provider Directory

Locations

1375 US Highway 42 SE
Ste C
London, OH 43140
Phone (614) 879-8067

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1811495849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 US HIGHWAY 42 SE STE C",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409548",
            "telephone_number": "740-845-8652",
            "fax_number": "614-503-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT FOR LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "VAN PELT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "419-773-9400"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.