Organization Active NPI

Bedford Counseling Centers

Doing business as New Source Counseling Centers

  • Counselor
  • Bedford, OH
National Provider Identifier
1972500619
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
BEDFORD COUNSELING CENTERS
Doing business as
New Source Counseling Centers
Practice address
365 Center Rd
Bedford, OH 44146-2237
Phone
(216) 462-0270
Fax
(740) 477-8877
NPI assigned
Jul 7, 2005
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. Anthony Mosley, LPC
Title
Executive Director
Phone
(216) 462-0270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

365 Center Rd
Bedford, OH 44146-2237

Mailing address

PO Box 1058
Circleville, OH 43113-5058
Phone (216) 462-0270

Other names 1

  • New Source Counseling Centers Doing business as

National Provider Directory

National Provider Directory

Locations

365 Warrensville Center Rd
Bedford, OH 44146
Phone (216) 462-0270

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1972500619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1058",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431135058",
            "telephone_number": "216-462-0270",
            "fax_number": "740-477-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 CENTER RD",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462237",
            "telephone_number": "216-462-0270",
            "fax_number": "740-477-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD COUNSELING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-462-0270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Source Counseling Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.