Provider Demographics
NPI:1922031988
Name:CENTRAL OHIO COUNSELING INC.
Entity Type:Organization
Organization Name:CENTRAL OHIO COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILMER
Authorized Official - Middle Name:K
Authorized Official - Last Name:FURUTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-785-1115
Mailing Address - Street 1:1035 PROPRIETORS RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3230
Mailing Address - Country:US
Mailing Address - Phone:614-785-1115
Mailing Address - Fax:614-785-0095
Practice Address - Street 1:1035 PROPRIETORS RD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3230
Practice Address - Country:US
Practice Address - Phone:614-785-1115
Practice Address - Fax:614-785-0095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00023441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000120814OtherBC/BS UPIN
OH000000120815OtherBC/BS UPIN
OH000000201178OtherBC/BS UPIN
OH000000219826OtherBC/BS UPIN
OH000000222638OtherBC/BS UPIN
OH000000341549OtherBC/BS UPIN
OH000000216798OtherBC/BS UPIN
OH000000321963OtherBC/BS UPIN
OH000000120823OtherBC/BS UPIN
OH4149701Medicare PIN
OHSW13412Medicare PIN
OH000000216798OtherBC/BS UPIN
OH000000120823OtherBC/BS UPIN
OH000000222638OtherBC/BS UPIN
OH000000219826OtherBC/BS UPIN