NPIMap

Organization Active NPI

Sophia Counseling Center Inc

  • Psychologist
  • Sylvania, OH
National Provider Identifier
1962474932
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SOPHIA COUNSELING CENTER INC
Practice address
6832 Convent Blvd
Sylvania, OH 43560-4805
Phone
(419) 882-4529
Fax
(419) 885-7612
NPI assigned
Feb 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Rachel Marie Nijakowski, PHDNPI 1003896572
Title
Executive Director
Phone
(419) 882-4529

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X

Addresses

Primary practice location

6832 Convent Blvd
Sylvania, OH 43560-4805

Mailing address

6832 Convent Blvd
Sylvania, OH 43560-4805
Phone (419) 882-4529

Other names 1

  • Sophia Center Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616001038 OH Part B Supplier - Clinic/Group Practice 4385628346 Receives reassigned benefits from 7 practitioners
Practice locations: Sylvania, OH

National Provider Directory

National Provider Directory

Locations

5335 Silica Dr
Sylvania, OH 43560
Phone (419) 824-3662

6832 Convent Blvd
Sylvania, OH 43560
Phone (419) 824-3600

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1962474932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 CONVENT BLVD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435604805",
            "telephone_number": "419-882-4529",
            "fax_number": "419-885-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 CONVENT BLVD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435604805",
            "telephone_number": "419-882-4529",
            "fax_number": "419-885-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "NIJAKOWSKI",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-882-4529",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sophia Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.