Provider Demographics
NPI:1710104310
Name:RINI, ERIC MARTIN (LPCC)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:MARTIN
Last Name:RINI
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11300 MEADOWCROFT STREET
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147
Mailing Address - Country:US
Mailing Address - Phone:614-834-5148
Mailing Address - Fax:
Practice Address - Street 1:437 HILL RD N
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-1157
Practice Address - Country:US
Practice Address - Phone:614-834-1919
Practice Address - Fax:614-834-1920
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0001725101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9111115Medicaid
OH241023000OtherMAGELLAN
OH000000117266OtherANTHEM
OH2237-01OtherMOUNT CARMEL