CONNECTIVE CLINICAL COUNSELING
NPI 1770158792
Clinic/Center - Adult Mental Health in Syracuse, OH

Active since May 21, 2021
2377 FOURTH STREET, SYRACUSE, OH 45779(740) 247-5463 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Connective Clinical Counseling NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNECTIVE CLINICAL COUNSELING (NPI 1770158792) is a healthcare organization registered as an adult mental health in Syracuse, Ohio and active in the NPI registry since May 2021. The organization lists Trisha Gibson, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1770158792
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCONNECTIVE CLINICAL COUNSELING
Location Address2377 FOURTH STREETSyracuse, OH 45779
Mailing AddressPo Box 134Syracuse, OH 45779-0134 · (740) 247-5463
Organization SubpartNo
Authorized OfficialTrisha GibsonPsychotherapist · (740) 247-5463
Enumeration DateMay 21, 2021
NPPES CertifiedMay 11, 2021
NPI 1770158792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2377 FOURTH STREET, Syracuse, OH 45779

Other Names 1

Doing Business AsConnective Clinical Counseling

Other Identifiers 1

Medicaid0439139OH

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2377 FOURTH STREET
SYRACUSE, OH 45779
Massage Therapist
2377 FOURTH STREET
SYRACUSE, OH 45779
Counselor (Mental Health)
2377 FOURTH STREET
SYRACUSE, OH 45779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connective Clinical Counseling's NPI number?

The NPI number for Connective Clinical Counseling is 1770158792. It was assigned to this organization in the NPPES registry on May 21, 2021.

Where is Connective Clinical Counseling located?

Connective Clinical Counseling is located at 2377 Fourth Street, Syracuse, OH 45779. The listed phone number is (740) 247-5463.

What is Connective Clinical Counseling's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Connective Clinical Counseling was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.