NPIMap

Organization Active NPI

Community Action Agency of Columbiana County Inc

Doing business as United Local School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Hanoverton, OH
National Provider Identifier
1225914112
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC
Doing business as
United Local School Based Health Center
Practice address
8143 State Route 9 RM 2123
Hanoverton, OH 44423-8618
Phone
(330) 382-9075
NPI assigned
Aug 14, 2025
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Jenna Wonner
Title
Coo
Phone
(330) 424-7221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

8143 State Route 9 RM 2123
Hanoverton, OH 44423-8618

Mailing address

7880 Lincole PL
Lisbon, OH 44432-8322
Phone (330) 424-5686

Other names 1

  • United Local School Based Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130408000488 OH Part B Supplier - Clinic/Group Practice 8123928645 Receives reassigned benefits from 33 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: East Liverpool, OH; Hanoverton, OH; Lisbon, OH; Salem, OH; Salineville, OH
O20251015001179 OH Part A Provider - Federally Qualified Health Center (FQHC) 8123928645 Practice locations: Hanoverton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225914112. Details of each certification follow.

Federally qualified health center certification: CCN D21105

Legal name
COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC
Doing business as
UNITED LOCAL SCHOOL BASED HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 14, 2025
Last certification
Oct 14, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
8143 State Route 9
RM 2123
Hanoverton, OH 44423-8618

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Community Action Agency of Columbiana County7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16687 Saint Clair Ave
Ste 203
East Liverpool, OH 43920
Phone (330) 386-7777

8143 State Route 9
Rm 2123
Hanoverton, OH 44423
Phone (330) 382-9075

38722 Saltwell Rd
Lisbon, OH 44432
Phone (330) 424-4192

2020 E State St
Ste K
Salem, OH 44460
Phone (330) 332-7685

2376 Southeast Blvd
Salem, OH 44460
Phone (330) 337-7255

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Roger Bacon Individual Corporate DirectorChair Jul 1, 2017
Patrick Wilson Individual Corporate DirectorBoard Member Jan 1, 2026
James Ford Individual Corporate DirectorBoard Member Jan 1, 2026
Rebecca Tolson Individual Corporate DirectorBoard Member Jan 1, 2026
William Houshour Individual Corporate DirectorVice Chair Jan 1, 2026
Tracey Wonner Individual Corporate DirectorSecretary Jan 1, 2026
Gloria Mathews Individual Corporate DirectorBoard Member Jan 1, 2026
Rachel Ketterman Individual Corporate DirectorTreasurer Jan 1, 2026
Raymond Hull Individual Corporate DirectorImmediate Past Chair Jul 9, 2010
Denise Taylor Individual Corporate DirectorBoard Member Jan 1, 2026
Brian McLaughlin Individual Corporate DirectorBoard Member Jan 1, 2026
Pat Baumgarner Individual Corporate DirectorBoard Member Jan 1, 2012
Jamie Haney Individual Corporate DirectorBoard Member Jan 1, 2026
Jenna Wonner Individual Corporate OfficerCoo Nov 1, 2017
W-2 Managing EmployeeCoo Nov 1, 2017
Zeb Locklear Individual Corporate DirectorBoard Member Jan 1, 2026
Alice Williams Individual Corporate DirectorBoard Member Jan 1, 2026
Thomas E Andrews Individual Corporate OfficerCeo Jul 1, 2017
W-2 Managing EmployeeCeo Jul 1, 2017
Operational/Managerial ControlCeo Jul 1, 2017
Brian Zeverl Individual Corporate DirectorBoard Member Jan 1, 2026

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Caa Health, Behavioral Health and Dental Center @ Melhourn, SalinevillSalineville, OH, CCN 361010 Federally qualified health center Operational/Managerial Control Jan 1, 1984

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 40

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 40

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1225914112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 LINCOLE PL",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328322",
            "telephone_number": "330-424-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8143 STATE ROUTE 9 RM 2123",
            "city": "HANOVERTON",
            "state": "OH",
            "postal_code": "444238618",
            "telephone_number": "330-382-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "WONNER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "330-424-7221"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Local School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanoverton, OH

Sources for this page

Verify at the official NPI Registry.