Active NPI
Necco SE, LLC
- Community/Behavioral Health Agency
- Pedro, OH
National Provider Identifier
1184433450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NECCO SE, LLC
- Practice address
- 115 Private Road 977
Pedro, OH 45659-8608 - Phone
- (740) 534-1386
- NPI assigned
- Jan 2, 2025
- Last updated
- Jan 2, 2025
- 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
- Bonnie L Logan
- Title
- Contracts and Licensing Specialist
- Phone
- (583) 440-5791
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Psychologist | 103T00000X | |||
| Social Worker | 104100000X | |||
| Registered Nurse | 163W00000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
115 Private Road 977
Pedro, OH 45659-8608
Mailing address
1404 Race St Ste 302
Cincinnati, OH 45202-7366
Phone (513) 440-5791
National Provider Directory
National Provider Directory- Tax ID family
- Necco SE LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Pedro, OH
- NPI 1124845342
-
- Community/Behavioral Health Agency
- Pedro, OH
- NPI 1508672437
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community/Behavioral Health Agency
- Pedro, OH
- NPI 1508672437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735776000000",
"number": "1184433450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 RACE ST STE 302",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452027366",
"telephone_number": "513-440-5791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 PRIVATE ROAD 977",
"city": "PEDRO",
"state": "OH",
"postal_code": "456598608",
"telephone_number": "740-534-1386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NECCO SE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-02",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A",
"authorized_official_last_name": "LOGAN",
"authorized_official_first_name": "BONNIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CONTRACTS AND LICENSING SPECIALIST",
"authorized_official_telephone_number": "583-440-5791"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pedro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.