Organization Active NPI

Josephine E. Glover, Dba

Doing business as Jubilee Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Canton, OH
National Provider Identifier
1053437384
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
E0004389 SUPV Issued in OH
Legal business name
JOSEPHINE E. GLOVER, DBA
Doing business as
Jubilee Center
Practice address
2719 Cleveland Ave NW
Canton, OH 44709-3309
Phone
(330) 453-1373
Fax
(330) 453-1383
NPI assigned
Mar 21, 2007
Last updated
Apr 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Josephine Ellen Glover, LPCC-SNPI 1245521061
Title
Professional Clinical Counselor
Phone
(330) 453-1373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X E0004389 SUPV OH Primary

Addresses

Primary practice location

2719 Cleveland Ave NW
Canton, OH 44709-3309

Mailing address

2719 Cleveland Ave NW
Canton, OH 44709-3309
Phone (330) 453-1373

Other names 1

  • Jubilee Center Doing business as

National Provider Directory

National Provider Directory

Locations

2719 Cleveland Ave NW
Canton, OH 44709
Phone (330) 453-1373

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1053437384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093309",
            "telephone_number": "330-453-1373",
            "fax_number": "330-453-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093309",
            "telephone_number": "330-453-1373",
            "fax_number": "330-453-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPHINE E. GLOVER, DBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PROFESSIONAL CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "330-453-1373",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "E0004389 SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jubilee Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.