Provider Demographics
NPI:1356678536
Name:ADKINS, KATIE (IMFT, PCC)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:
Last Name:ADKINS
Suffix:
Gender:F
Credentials:IMFT, PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6135 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-9005
Mailing Address - Country:US
Mailing Address - Phone:614-389-0747
Mailing Address - Fax:614-659-0360
Practice Address - Street 1:6135 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-9005
Practice Address - Country:US
Practice Address - Phone:614-389-0747
Practice Address - Fax:614-659-0360
Is Sole Proprietor?:No
Enumeration Date:2009-11-10
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF.1100014106H00000X
OHE.0600120101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH08258Medicaid