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NPI Code Detail

MEDICARE: NORTH COMMUNITY COUNSELING CENTERS, INC.

MEDICARE: NORTH COMMUNITY COUNSELING CENTERS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0802XAddiction Psychiatry Physician
2251S00000XCommunity/Behavioral Health Agency
3101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962762104
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH COMMUNITY COUNSELING CENTERS, INC.
Provider Business Mailing Address
First Line : 6037 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2256
Country : US
Telephone Number : 614-267-7003
Fax Number : 614-267-7013
Provider Business Practice Location Address
First Line : 6037 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2256
Country : US
Telephone Number : 614-267-7003
Fax Number : 614-267-7013
Authorized Official
Title or Position : CEO
Name : KATRINA KERNS
Credential :
Telephone Number : 614-420-4267
Provider Enumeration Date : 05/22/2012
Last Update Date : 03/20/2025

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