Organization Active NPI

North Community Counseling CTRS Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
National Provider Identifier
1831182922
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2499783MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Bridge Counseling Cente5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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

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.

Verify at the official NPI Registry.