NPIMap

Organization Active NPI

Advanced Center for Coping and Wellness, LLC

  • Clinical Social Worker
  • Bellevue, OH
National Provider Identifier
1194059394
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0005833-SUPV Issued in OH
Legal business name
ADVANCED CENTER FOR COPING AND WELLNESS, LLC
Practice address
5433 State Route 113
Bellevue, OH 44811-9708
Phone
(419) 483-3918
Fax
(419) 484-1203
NPI assigned
Sep 22, 2009
Last updated
Sep 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Mrs. Melanie M Benedict, LPCNPI 1669494076
Title
Professional Clinical Counselor
Phone
(419) 483-3918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E000258 OH
Clinical Social Worker 1041C0700X I0005833-SUPV OH Primary

Addresses

Primary practice location

5433 State Route 113
Bellevue, OH 44811-9708

Mailing address

5433 State Route 113
Bellevue, OH 44811-9708
Phone (419) 483-3918

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1194059394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 STATE ROUTE 113",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119708",
            "telephone_number": "419-483-3918",
            "fax_number": "419-484-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 STATE ROUTE 113",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119708",
            "telephone_number": "419-483-3918",
            "fax_number": "419-484-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CENTER FOR COPING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "BENEDICT",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROFESSIONAL CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "419-483-3918",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E000258",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0005833-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.