NPIMap

Organization Active NPI

Cedar Ridge Behavioral Health Solutions LLC

  • Community/Behavioral Health Agency
  • Cambridge, OH
National Provider Identifier
1063779460
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
I.0700055-SUPV Issued in OH
Legal business name
CEDAR RIDGE BEHAVIORAL HEALTH SOLUTIONS LLC
Practice address
841 Steubenville Ave
Cambridge, OH 43725-2301
Phone
(855) 692-7247
NPI assigned
Apr 23, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Alicia Jean Beynon, LISW-S, LICDC-CSNPI 1851435523
Title
Owner/Director
Phone
(855) 692-7247

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
Community/Behavioral Health Agency 251S00000X I.0700055-SUPV OH Primary

Addresses

Primary practice location

841 Steubenville Ave
Cambridge, OH 43725-2301

Mailing address

1225 Woodlawn Ave
Suite112
Cambridge, OH 43725-3094
Phone (855) 692-7247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170509000856 OH Part B Supplier - Clinic/Group Practice 5698927432 Receives reassigned benefits from 12 practitioners
Practice locations: Cambridge, OH

National Provider Directory

National Provider Directory
Tax ID family
Cedar Ridge Behavioral Health Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1225 Woodlawn Ave
Ste 112
Cambridge, OH 43725

841 Steubenville Ave
Cambridge, OH 43725
Phone (855) 962-7247

Practitioners & affiliated clinicians

Practitioners 222

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.

View all 222

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063779460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WOODLAWN AVE",
            "address_2": "SUITE112",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437253094",
            "telephone_number": "855-692-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 STEUBENVILLE AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252301",
            "telephone_number": "855-692-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RIDGE BEHAVIORAL HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BEYNON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "855-692-7247",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-S, LICDC-CS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "I.0700055-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.