| Concord Counseling Services | |
|
700 Brooksedge Blvd Westerville OH 43081-2820 | |
| (614) 882-9338 | |
| (614) 882-3401 |
| Full Name | Concord Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 700 Brooksedge Blvd, Westerville, Ohio |
| Authorized Official Name and Position | Constance H Emerson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6148829338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Counseling Services 700 Brooksedge Blvd Westerville OH 43081-2820 Ph: (614) 882-9338 | Concord Counseling Services 700 Brooksedge Blvd Westerville OH 43081-2820 Ph: (614) 882-9338 |
| NPI Number | 1043258767 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 05/17/2011 |
| Medicare PECOS PAC ID | 2062304116 |
|---|---|
| Medicare Enrollment ID | O20040325000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043258767 | NPI | - | NPPES |
| 0200375 | Medicaid | OH |
| Provider Name | Richard James Petruska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558518035 PECOS PAC ID: 4880648781 Enrollment ID: I20050303000345 |
| Provider Name | Devon Noble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386797710 PECOS PAC ID: 3274587100 Enrollment ID: I20050303000600 |
| Provider Name | Deborah Lynn Kadlec |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477856797 PECOS PAC ID: 4587604970 Enrollment ID: I20050504001282 |
| Provider Name | Barbara A Blair-karr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811930332 PECOS PAC ID: 4587607791 Enrollment ID: I20050608000930 |
| Provider Name | Mindy Sue Koenig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891767752 PECOS PAC ID: 9931127792 Enrollment ID: I20051109001261 |
| Provider Name | James R Girvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851302079 PECOS PAC ID: 1850565573 Enrollment ID: I20111115000489 |
| Provider Name | Dena J Gost |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568473783 PECOS PAC ID: 3678747052 Enrollment ID: I20111121000777 |
| Provider Name | Christine Bradley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548353543 PECOS PAC ID: 6709050883 Enrollment ID: I20111130000219 |
| Provider Name | Jeffrey P Koenig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750636254 PECOS PAC ID: 8022269893 Enrollment ID: I20121105000352 |
| Provider Name | Lukasz Lozanski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891087664 PECOS PAC ID: 1153561246 Enrollment ID: I20150603001549 |
| Provider Name | Robert Harley Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871814137 PECOS PAC ID: 6507163318 Enrollment ID: I20160322002049 |
| Provider Name | Thor R Rubin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063669547 PECOS PAC ID: 6002860921 Enrollment ID: I20161214002530 |
| Provider Name | Karen Sue Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780612093 PECOS PAC ID: 7416223193 Enrollment ID: I20171024003716 |
| Provider Name | Sarah Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366934028 PECOS PAC ID: 7012253651 Enrollment ID: I20190117003699 |
| Provider Name | Olaya Lizette Solis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437354826 PECOS PAC ID: 1355504671 Enrollment ID: I20191104002955 |
| Provider Name | William Peter English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184085474 PECOS PAC ID: 6406203728 Enrollment ID: I20231108001817 |
| Provider Name | Melissa A. Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770599649 PECOS PAC ID: 7810331097 Enrollment ID: I20240215001338 |
| Provider Name | Lindsey Johnston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891276069 PECOS PAC ID: 8022452168 Enrollment ID: I20240216002927 |
| Provider Name | Gina Lanette Burdett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245633437 PECOS PAC ID: 6901240043 Enrollment ID: I20240216003107 |
| Provider Name | Cindy B Smiley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609988831 PECOS PAC ID: 4789028226 Enrollment ID: I20240222004126 |
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