| Circleville Community Counseling, LLC | |
|
1555 N Court St Circleville OH 43113-1087 | |
| (740) 497-2479 | |
| Not Available |
| Full Name | Circleville Community Counseling, LLC |
|---|---|
| Speciality | Counselor |
| Location | 1555 N Court St, Circleville, Ohio |
| Authorized Official Name and Position | Elizabeth Beckley (PRACTICE MANAGER) |
| Authorized Official Contact | 7405712333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Circleville Community Counseling, LLC 343 Meadow Ln Circleville OH 43113-1436 Ph: (740) 497-2479 | Circleville Community Counseling, LLC 1555 N Court St Circleville OH 43113-1087 Ph: (740) 497-2479 |
| NPI Number | 1346913779 |
|---|---|
| Provider Enumeration Date | 07/30/2021 |
| Last Update Date | 08/18/2025 |
| Certification Date | 08/18/2025 |
| Medicare PECOS PAC ID | 8729556659 |
|---|---|
| Medicare Enrollment ID | O20260508000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346913779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 101YP2500X | Counselor - Professional | (NU) | Primary |
| Provider Name | Brenton Beckley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477931681 PECOS PAC ID: 7911343264 Enrollment ID: I20240309000531 |
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