Provider Demographics
NPI:1538502760
Name:KOBAYASHI SHERROD, TOMOKO (LPCC-S)
Entity type:Individual
Prefix:
First Name:TOMOKO
Middle Name:
Last Name:KOBAYASHI SHERROD
Suffix:
Gender:
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1791 ALUM CREEK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-1708
Mailing Address - Country:US
Mailing Address - Phone:614-445-8131
Mailing Address - Fax:
Practice Address - Street 1:950 MEADOW DR
Practice Address - Street 2:
Practice Address - City:MT. GILEAD
Practice Address - State:OH
Practice Address - Zip Code:43338
Practice Address - Country:US
Practice Address - Phone:419-946-6734
Practice Address - Fax:419-946-6952
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0007683-SUPV101YP2500X
OHE.0007683-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional