NPIMap

Organization Active NPI

Newark-Granville Psychological & Counseling Services LTD

  • Adult Mental Health Clinic/Center
  • Granville, OH
National Provider Identifier
1891808648
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NEWARK-GRANVILLE PSYCHOLOGICAL & COUNSELING SERVICES LTD
Practice address
945 River Rd
Granville, OH 43023-9534
Phone
(740) 587-5252
Fax
(740) 587-2571
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
McKenzie A Povlinko
Title
Owner
Phone
(740) 587-5252

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X OH Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X OH

Addresses

Primary practice location

945 River Rd
Granville, OH 43023-9534

Mailing address

PO Box 481
Granville, OH 43023-0481
Phone (740) 587-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609000081 OH Part B Supplier - Clinic/Group Practice 6800879107 Receives reassigned benefits from 3 practitioners
Practice locations: Granville, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1891808648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430230481",
            "telephone_number": "740-587-5252",
            "fax_number": "740-587-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 RIVER RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239534",
            "telephone_number": "740-587-5252",
            "fax_number": "740-587-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK-GRANVILLE PSYCHOLOGICAL & COUNSELING SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "POVLINKO",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-587-5252"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.