Healthcare Provider Details

I. General information

NPI: 1629995543
Provider Name (Legal Business Name): KATIE P COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1385 KING AVE
COLUMBUS OH
43212-2220
US

IV. Provider business mailing address

1385 KING AVE
COLUMBUS OH
43212-2220
US

V. Phone/Fax

Practice location:
  • Phone: 614-219-9063
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE PONTIOUS
Title or Position: LISW
Credential:
Phone: 614-219-9063