EPIPHANY PSYCHOTHERAPY & CONSULTATION, LLC (NPI# 1285245522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285245522 |
| Entity Type | Organization |
| Organization Name | EPIPHANY PSYCHOTHERAPY & CONSULTATION, LLC |
| Practice Address |
341 S 3rd St Ste 100-344 Columbus OH 43215-5463 |
| Mailing Address |
1739 Cottonwood Dr Lewis Center OH 43035-7937 |
| Practice Telephone | 6146655100 |
| Practice Fax Number | 8558448447 |
| Mailing Telephone | 2024396469 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | DR. D'ANDRIA A. A JACKSON (OWNER/LICENSED CLINICAL PSYCHOLOGIS) |
| Authorized Official Telephone | 6146655100 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | INDIVIDUAL NPI | 1285044776 | 01 |
| Street Address |
341 S 3RD ST STE 100-344 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215-5463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184723 | Reset Button Counseling LLC | Psychologist | 4041 N High St Ste 300l, Columbus, OH 43214-3200 | 2019-09-26 |
| 1376021022 | Deloveh Psychological Services, LLC | Psychologist | 4041 N High St Ste 300f, Columbus, OH 43214-3200 | 2018-08-04 |
| 1235636697 | Lisa Christian | Psychologist | 460 Medical Center Dr Rm 112, Columbus, OH 43210-1229 | 2018-04-11 |
| 1093226581 | Amanda Conn | Psychologist | 454 E Main St Ste 240, Columbus, OH 43215-5380 | 2017-10-24 |
| 1144749441 | Chelsea Kane | Psychologist | 480 Medical Center Dr Rm 2145, Columbus, OH 43210-1229 | 2017-09-18 |
| 1346769445 | Karla L Delcour | Psychologist | 2200 W. Broad Street, Columbus, OH 43223 | 2017-09-11 |
| 1477003143 | Bethel Olentangy Psychological Services | Psychologist | 4949 Olentangy River Road, Columbus, OH 43214 | 2016-10-06 |
| 1417302209 | Kristen Hurley | Psychologist | 2675 Fox Pointe Dr Ste A, Columbus, IN 47203-3391 | 2016-04-28 |
| 1699135392 | Krystal Marie Hernandez-kane | Psychologist | 620 E Broad St, Columbus, OH 43215-4037 | 2016-02-24 |
| 1336549773 | Amy Luitjohan Stoffregen | Psychologist | 1520 Old Henderson Rd Ste 100d, Columbus, OH 43220-3639 | 2014-09-03 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.