Healthcare Provider Details

I. General information

NPI: 1700396819
Provider Name (Legal Business Name): LINNEA REBEKAH CLOUSE LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7140 N HIGH ST STE 250
WORTHINGTON OH
43085-2697
US

IV. Provider business mailing address

7140 N HIGH ST STE 250
WORTHINGTON OH
43085-2697
US

V. Phone/Fax

Practice location:
  • Phone: 614-831-0406
  • Fax: 380-210-2811
Mailing address:
  • Phone: 614-831-0406
  • Fax: 380-210-2811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.1901326
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1901326
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: