| North Community Counseling Centers Inc | |
|
6037 Cleveland Ave Columbus OH 43231-2256 | |
| (614) 267-7003 | |
| (614) 267-7013 |
| Full Name | North Community Counseling Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6037 Cleveland Ave, Columbus, Ohio |
| Authorized Official Name and Position | Candace Jones (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 6142677003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Community Counseling Centers Inc 6037 Cleveland Ave Columbus OH 43231-2256 Ph: (614) 267-7003 | North Community Counseling Centers Inc 6037 Cleveland Ave Columbus OH 43231-2256 Ph: (614) 267-7003 |
| NPI Number | 1003085648 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 5698721751 |
|---|---|
| Medicare Enrollment ID | O20050322001163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003085648 | NPI | - | NPPES |
| 2341648 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Ohio) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | Julia E Lansing |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518150911 PECOS PAC ID: 1254424344 Enrollment ID: I20070906000001 |
| Provider Name | Brendan T Carroll |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861503591 PECOS PAC ID: 2163608233 Enrollment ID: I20110525000814 |
| Provider Name | Angela J Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811144264 PECOS PAC ID: 8527280437 Enrollment ID: I20141110000768 |
| Provider Name | Kellie Lyn Rae |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700076817 PECOS PAC ID: 2769745447 Enrollment ID: I20180410003216 |
| Provider Name | Laura Elizabeth Garguilo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144725334 PECOS PAC ID: 9931441326 Enrollment ID: I20190506000912 |
| Provider Name | Katherine Ann Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265635338 PECOS PAC ID: 8426477712 Enrollment ID: I20201006002707 |
| Provider Name | Kimberly Ann Neace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619578218 PECOS PAC ID: 0244620466 Enrollment ID: I20211202001498 |
| Provider Name | Kendall T Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033727417 PECOS PAC ID: 0648667139 Enrollment ID: I20220502002076 |
| Provider Name | Michelle A Meffley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083074561 PECOS PAC ID: 8729432943 Enrollment ID: I20230922000573 |
| Provider Name | Krista Predragovich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124271176 PECOS PAC ID: 7214372937 Enrollment ID: I20240304001572 |
| Provider Name | Stephanie Rae Wells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073723094 PECOS PAC ID: 4981040177 Enrollment ID: I20240311001258 |
| Provider Name | Erin K Michel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447886098 PECOS PAC ID: 6305288127 Enrollment ID: I20240524001976 |
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