Organization Active NPI

Southern Ohio Counseling and Sober Living

  • Community Health Worker
  • Manchester, OH
National Provider Identifier
1942880703
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
SOUTHERN OHIO COUNSELING AND SOBER LIVING
Practice address
607 E 7TH St
Manchester, OH 45144-1559
Phone
(937) 544-4020
Fax
(937) 544-4009
NPI assigned
Apr 14, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Jill M Latham
Title
Billing/Credentialing Manager
Phone
(937) 544-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

607 E 7TH St
Manchester, OH 45144-1559

Mailing address

607 E 7TH St
Manchester, OH 45144-1559
Phone (937) 544-4020

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL southernohiocounseling

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1942880703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 E 7TH ST",
            "city": "MANCHESTER",
            "state": "OH",
            "postal_code": "451441559",
            "telephone_number": "937-544-4020",
            "fax_number": "937-544-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E 7TH ST",
            "city": "MANCHESTER",
            "state": "OH",
            "postal_code": "451441559",
            "telephone_number": "937-544-4020",
            "fax_number": "937-544-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OHIO COUNSELING AND SOBER LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "937-544-4020"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "southernohiocounseling",
            "affiliation": "N",
            "endpointDescription": "address",
            "address_1": "607 E 7th St",
            "city": "Manchester",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451441559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.