NPI profile
COUNSELING AND MEDIATION SERVICES
NPI record status, taxonomy, official source timestamp, and OIG LEIE screening context.
Identity
- NPI
- 1053505115
- Entity type
- NPI-2
- Primary taxonomy
- 251S00000X
- NPI source updated
- May 06, 2009
- Enumeration date
- Aug 31, 2007
- Cache fetched
- May 05, 2026
NPI does not validate licensure, credentialing, Medicare enrollment, or current practice authority.
OIG LEIE screening
excludedConfidence: high
Exact OIG exclusion match by NPI.
NPI addresses
| Purpose | Address | Phone |
|---|---|---|
| MAILING | 5758055089 | |
| LOCATION | 5758055089 |
FAQ
Practical notes
Does an NPI record validate licensure?
No. NPI data does not validate licensure, credentialing, Medicare enrollment, or current practice authority.