NPIMap

Organization Active NPI

MM Family Circle Incorporated

Doing business as Ellie Mental Health

  • Mental Health Counselor
  • Hudson, OH
National Provider Identifier
1225738008
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MM FAMILY CIRCLE INCORPORATED
Doing business as
Ellie Mental Health
Practice address
581 Boston Mills Rd Ste 400
Hudson, OH 44236-1193
Phone
(614) 975-2520
NPI assigned
Mar 9, 2023
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Mr. John G Mannella
Title
President
Phone
(614) 975-2520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

581 Boston Mills Rd Ste 400
Hudson, OH 44236-1193

Mailing address

3269 Suffolk Downs
Stow, OH 44224
Phone (614) 975-2520

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240418003403 OH Part B Supplier - Clinic/Group Practice 9335588680 Receives reassigned benefits from 8 practitioners
Practice locations: Akron, OH; Hudson, OH

National Provider Directory

National Provider Directory

Locations

575 White Pond Dr
Akron, OH 44320
Phone (330) 835-1629

575 White Pond Dr
Ste Ab
Akron, OH 44320
Phone (234) 601-0244

581 Boston Mills Rd
Ste 400
Hudson, OH 44236
Phone (234) 348-4459

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1225738008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 SUFFOLK DOWNS",
            "city": "STOW",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "614-975-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 BOSTON MILLS RD STE 400",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361193",
            "telephone_number": "614-975-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MM FAMILY CIRCLE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "MANNELLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-975-2520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.