NPIMap

Organization Active NPI

Urbanmotivators LLC

  • Peer Specialist
  • Lakewood, OH
National Provider Identifier
1205524840
Registry record updated Jun 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
URBANMOTIVATORS LLC
Practice address
11801 Clifton Blvd Ste 2
Lakewood, OH 44107-2058
Phone
(440) 454-4379
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2023

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

Authorized official

Name
Mr. Victor Leslie Vaughn Jr.NPI 1548823768
Title
Chief Executive Officer
Phone
(440) 454-4379

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
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

11801 Clifton Blvd Ste 2
Lakewood, OH 44107-2058

Mailing address

11841 Lake Ave Apt 18
Lakewood, OH 44107-1802
Phone (440) 454-4379

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.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686441600000",
    "number": "1205524840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11841 LAKE AVE APT 18",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441071802",
            "telephone_number": "440-454-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 CLIFTON BLVD STE 2",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072058",
            "telephone_number": "440-454-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBANMOTIVATORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "440-454-4379",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; 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.