1487728499 NPI number — TRANSITIONS COUNSELING LLC PRIVATE PRACTICE PARTNERSHIP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487728499 NPI number — TRANSITIONS COUNSELING LLC PRIVATE PRACTICE PARTNERSHIP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSITIONS COUNSELING LLC PRIVATE PRACTICE PARTNERSHIP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487728499
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
230 NORTH SANDUSKY STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DELAWARE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43015
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
740-363-8370
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
230 NORTH SANDUSKY STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DELAWARE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-363-8370
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/20/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ERB
Authorized Official First Name:
MARY
Authorized Official Middle Name:
BETH
Authorized Official Title or Position:
PARTNER THERAPIST
Authorized Official Telephone Number:
740-363-8370

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  10007631 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 283560439002 . This is a "MEDICAL MUTUAL OF OHIO" identifier . This identifiers is of the category "OTHER".
  • Identifier: ERBMARYB . This is a "CORPHEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6212868 . This is a "UBH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 145101 . This is a "MOUNT CARMEL BEHAV HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 11259307 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 232466 . This is a "MHN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 455318 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9244460 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 928366 . This is a "ONE HEALTH PLANE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00000228719 . This is a "ANTHEM BCBS" identifier . This identifiers is of the category "OTHER".