Organization Active NPI

Braveheart Ministries, LTD.

Doing business as Braveheart Counseling

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1871638171
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0003902 Issued in OH
Legal business name
BRAVEHEART MINISTRIES, LTD.
Doing business as
Braveheart Counseling
Practice address
3620 N High St
Suite 209
Columbus, OH 43214-3611
Phone
(614) 263-6272
Fax
(614) 268-3949
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark R McCarthy, MA, MDIV, LPCCNPI 1962500272
Title
Professional Clinical Counselor
Phone
(614) 263-6272

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X E0003902 OH Primary

Addresses

Primary practice location

3620 N High St
Suite 209
Columbus, OH 43214-3611

Mailing address

3620 N High St
Suite 209
Columbus, OH 43214-3611
Phone (614) 263-6272

Other identifiers 1

IdentifierTypeStateIssuer
1962500272OtherOHINDIVIDUAL NPI

Other names 1

  • Braveheart Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

3620 N High St
Ste 209
Columbus, OH 43214
Phone (614) 263-6272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871638171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N HIGH ST",
            "address_2": "SUITE 209",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143611",
            "telephone_number": "614-263-6272",
            "fax_number": "614-268-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 N HIGH ST",
            "address_2": "SUITE 209",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143611",
            "telephone_number": "614-263-6272",
            "fax_number": "614-268-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVEHEART MINISTRIES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROFESSIONAL CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "614-263-6272",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, MDIV, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0003902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1962500272",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braveheart Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.