NPIMap

Organization Active NPI

Jefferson Behavioral Health System

  • Community/Behavioral Health Agency
  • Steubenville, OH
National Provider Identifier
1063539997
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1310 Issued in OH
Legal business name
JEFFERSON BEHAVIORAL HEALTH SYSTEM
Practice address
1 Ross Park Blvd
Suite 201
Steubenville, OH 43952-2681
Phone
(740) 264-7751
Fax
(740) 264-2422
NPI assigned
Mar 24, 2007
Last updated
Jan 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Mr. Anthony J Sheposh, LPC
Title
Chief Executive Officer
Phone
(740) 264-7751

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0191 OH
Community/Behavioral Health Agency 251S00000X 1308 OH
Community/Behavioral Health Agency 251S00000X 1310 OH Primary

Addresses

Primary practice location

1 Ross Park Blvd
Suite 201
Steubenville, OH 43952-2681

Mailing address

1 Ross Park Blvd
Suite 201
Steubenville, OH 43952-2681
Phone (740) 264-7751

Other identifiers 5

IdentifierTypeStateIssuer
2488455MedicaidOH
0200517MedicaidOH
24-01MedicaidOH
7063OtherOHMACSIS LEGACY PROVIDER ID
2410733MedicaidOH

National Provider Directory

National Provider Directory

Locations

220 Murdock St
Mingo Junction, OH 43938
Phone (740) 314-8195

3150 Johnson Rd
Ste C
Steubenville, OH 43952
Phone (740) 264-4769

525 N 4th St
Steubenville, OH 43952
Phone (740) 264-7751

527N 4TH St
Steubenville, OH 43952
Phone (740) 264-7751

Practitioners & affiliated clinicians

Practitioners 9

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": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1063539997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROSS PARK BLVD",
            "address_2": "SUITE 201",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522681",
            "telephone_number": "740-264-7751",
            "fax_number": "740-264-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROSS PARK BLVD",
            "address_2": "SUITE 201",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522681",
            "telephone_number": "740-264-7751",
            "fax_number": "740-264-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON BEHAVIORAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "SHEPOSH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "740-264-7751",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "0191",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "1308",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "1310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2488455",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200517",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24-01",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MACSIS LEGACY PROVIDER ID",
            "identifier": "7063",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2410733",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.