Olive Branch Counseling and Wellness, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

E 0007143 Issued in OH

Legal business name

OLIVE BRANCH COUNSELING AND WELLNESS, LLC

Practice address

444 N Main St
Suite 408
Akron, OH 44310-3110

Phone

(330) 805-4587

Fax

(330) 805-4587

NPI assigned

Jan 22, 2014

Last updated

Mar 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Lara Dougall, PHDNPI 1619393287

Title

Professional Clinical Counselor

Phone

(330) 805-4587

Specialties & licenses 1

Addresses

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.

• Jennifer Lara Dougall, PHD, PCC

  • Professional Counselor
  • Akron, OH
  • NPI 1619393287
  NPD (past) Authorized official

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1932522356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4034",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443210034",
            "telephone_number": "330-805-4587",
            "fax_number": "330-805-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N MAIN ST",
            "address_2": "SUITE 408",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443103110",
            "telephone_number": "330-805-4587",
            "fax_number": "330-805-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "DOUGALL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LARA",
        "authorized_official_title_or_position": "PROFESSIONAL CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "330-805-4587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "E 0007143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Theresa Olesky, LPN
• Lester Jan Alvarado Olimba, M.D.
• Amy Jean Olinger, APRN-CNP, AGACNP-BC
• Travis Dean Olinger
• Tiffany Mae Oliphant
• Olive Health Care, Inc. (Canal Pointe Nursing & Rehabilitation Center)
• Davonte Trevon Oliver
• Earline Oliver
• Joli Oliver
• Shavon K Oliver

• Community/Behavioral Health Agency in Akron, OH
• Providers in Akron, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.