Active NPI
North Community Counseling CTRS Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
National Provider Identifier
1831182922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- NORTH COMMUNITY COUNSELING CTRS INC
- Practice address
- 2300 W Broad St
Columbus, OH 43204-3783 - Phone
- (614) 279-7690
- Fax
- (614) 279-7695
- NPI assigned
- Aug 24, 2005
- Last updated
- May 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David B Kittredge
- Title
- President
- Phone
- (614) 237-7003
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | NU | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
2300 W Broad St
Columbus, OH 43204-3783
Mailing address
4897 Karl Rd
Columbus, OH 43229-5147
Phone (614) 269-7003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2499783 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Bridge Counseling Cente
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Columbus, OH
- NPI 1003085648
-
- Mental Illness Intermediate Care Facility
- Columbus, OH
- NPI 1215470935
-
- Addiction (Substance Use Disorder) Counselor
- Columbus, OH
- NPI 1962762104
-
- Case Management Agency
- Columbus, OH
- NPI 1760792014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337212800000",
"number": "1831182922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4897 KARL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432295147",
"telephone_number": "614-269-7003",
"fax_number": "614-267-7013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432043783",
"telephone_number": "614-279-7690",
"fax_number": "614-279-7695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH COMMUNITY COUNSELING CTRS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-24",
"last_updated": "2012-05-17",
"status": "A",
"authorized_official_last_name": "KITTREDGE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-237-7003"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2499783",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
- North Columbus Dental Partners, LLP (Comfort Dental North Columbus)
- North Columbus Preparatory Academy
- North Community Counseling Centers Inc
- North Community Counseling Centers Inc
- North Community Counseling Centers, Inc.
- North Community Home Health Care, Inc
- North Drop Back in Academy (Road to Success Academy)
- North Franklin Street Chiropractic Centre, Inc. (Physicians Plus)
- North Georgia Eswt, LLC
- North Linden Health & Wellness Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.