Active NPI
Easterseals of Northeast Ohio
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Youngstown, OH
National Provider Identifier
1093099178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- EASTERSEALS OF NORTHEAST OHIO
- Practice address
- 299 Edwards St
Youngstown, OH 44502-1504 - Phone
- (330) 743-1168
- Fax
- (330) 743-1616
- NPI assigned
- Oct 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jody Klase
- Title
- Ceo
- Phone
- (330) 599-5493
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
299 Edwards St
Youngstown, OH 44502-1504
Mailing address
299 Edwards St
Youngstown, OH 44502-1599
Phone (330) 599-5493
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0078348 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Easterseals of Northeast Ohio
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Youngstown, OH
- NPI 1174954325
-
- Adult Day Care Clinic/Center
- Youngstown, OH
- NPI 1881842664
Locations
299 Edwards St
Youngstown, OH 44502
Phone (330) 743-1168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777852800000",
"number": "1093099178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 EDWARDS ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445021599",
"telephone_number": "330-599-5493",
"fax_number": "330-743-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 EDWARDS ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445021504",
"telephone_number": "330-743-1168",
"fax_number": "330-743-1616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERSEALS OF NORTHEAST OHIO",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-06",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A",
"authorized_official_last_name": "KLASE",
"authorized_official_first_name": "JODY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "330-599-5493"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0078348",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.