Healthcare Provider Details

I. General information

NPI: 1144546680
Provider Name (Legal Business Name): NEXUS COUNSELING GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 BRYDEN RD STE 204
COLUMBUS OH
43215-4839
US

IV. Provider business mailing address

700 BRYDEN RD STE 204
COLUMBUS OH
43215-4839
US

V. Phone/Fax

Practice location:
  • Phone: 614-473-9500
  • Fax: 614-473-9545
Mailing address:
  • Phone: 614-473-9500
  • Fax: 614-473-9545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1.0800095-SUPV
License Number StateOH

VIII. Authorized Official

Name: RODA ISMAIL HASSAN
Title or Position: OWNER, PSYCHOTHERAPIST
Credential: MSW, LISW-S
Phone: 614-473-9500