JONATHAN M. LEAGUE PRIVATE PRACTICE (NPI# 1649523192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649523192 |
| Entity Type | Organization |
| Organization Name | JONATHAN M. LEAGUE PRIVATE PRACTICE |
| Other Organization Name | ADULT, CHILD, FAMILY COUNSELING OF MASON |
| Practice Address |
6400 Thornberry Ct Ste 620 Mason OH 45040-7818 |
| Practice Telephone | 5132298386 |
| Practice Fax Number | 5132298385 |
| Mailing Telephone | 5132298386 |
| Mailing Fax Number | 5132298385 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | MR. JONATHAN M. LEAGUE (OWNER) |
| Authorized Official Telephone | 5132298386 |
| Authorized Official Credential | LPCC-S, LICDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
021055 | OH | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E. 0004364 | OH | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Adult, Child, Family Counseling of Mason | Doing Business As Name - Organization |
| Street Address |
6400 THORNBERRY CT STE 620 |
| City | MASON |
| State | OH |
| Zip Code | 45040-7818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245643139 | Adult Child Family Counseling of Mason | Counselor | 6400 Thornberry Ct Ste 620, Mason, OH 45040-7818 | 2014-06-09 |
| 1811335490 | Laura C. Holdcraft | Psychologist | 6400 Thornberry Ct Ste 620, Mason, OH 45040-7818 | 2013-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633882 | Jarek Beegan | Specialist/Technologist, Other | 8188 Corporate Way, Mason, OH 45040 | 2018-06-19 |
| 1548771439 | Jeanene Gibson | Registered Nurse | 9945 Coventry Court, Mason, OH 45040 | 2017-10-18 |
| 1093249898 | Peace of Mind Care Services, Inc. | Community/Behavioral Health | 5180 Cedar Village Drive, Suite A, Mason, OH 45040 | 2017-04-18 |
| 1477938736 | Justin William Florek | Chiropractor | 6213 Snider Road, Mason, OH 45040 | 2015-07-28 |
| 1730562729 | Alexandra Courts | Physical Therapist | 5267 Joseph Ln, Mason, OH 45040 | 2015-07-08 |
| 1982083531 | Nicole Roether | Specialist/Technologist | 5236 Socialville-foster Road, Mason, OH 45040 | 2015-05-28 |
| 1568849123 | Alissa Marie Conde | Pediatrics | 9560 Children's Drive, Mason, OH 45040 | 2015-05-04 |
| 1205220696 | Elizabeth Barnes | Pain Medicine | 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 | 2015-03-24 |
| 1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
| 1295133668 | Gregory Carr | Psychologist | 4569 Wesley Ct, Mason, OH 45040 | 2014-12-16 |
| Find all providers in zip 45040 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011187 | Solara Counseling, LLC | Counselor | 6338 Snider Rd Unit 674, Mason, OH 45040-5127 | 2020-10-20 |
| 1053958512 | Jason Bast | Counselor | 7567 Central Parke Blvd Ste E, Mason, OH 45040-6852 | 2019-12-04 |
| 1588140289 | Michael Furlong | Counselor | 830 Kerns Rd, Mason, MI 48854-1001 | 2018-07-16 |
| 1396198206 | 3c Counseling & Consulting Services, LLC | Counselor | 3532 Irwin Simpson Rd, Suite 85, Mason, OH 45040-9550 | 2016-07-14 |
| 1053758797 | Corrine L White | Counselor | 8559 S Mason Montgomery Rd Ste 25, Mason, OH 45040-9381 | 2013-06-03 |
| 1114193547 | Janel Elizabeth Schlaudecker | Counselor | 6136 Sherman Terrace Dr, Mason, OH 45040-9081 | 2008-05-06 |
| 1174602098 | Julie Fender | Counselor | 7577 Central Parke Blvd Ste219, Mason, OH 45040 | 2006-11-02 |
| 1417056284 | Leslie B. Jones | Counselor | 6400 Thornberry Court, Unit 620, Mason, OH 45040 | 2006-09-21 |
| 1669445961 | Rick Allen Butts | Counselor | 7577 Central Parke Blvd, Suite 226, Mason, OH 45040 | 2006-02-08 |
| 1821078007 | Donna L Burnett | Counselor | 5740 Gateway Blvd, Ste 104, Mason, OH 45040-1893 | 2006-01-23 |
| Find all providers in MASON | ||||
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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.