NPIMap

Organization Active NPI

Panacea Behavior Therapy

  • Addiction (Substance Use Disorder) Counselor
  • Youngstown, OH
National Provider Identifier
1235742685
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
PANACEA BEHAVIOR THERAPY
Practice address
2703 Mahoning Ave Ste 103
Youngstown, OH 44509-2337
Phone
(330) 980-2353
Fax
(330) 781-5178
NPI assigned
Aug 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Faith Palmer, CDCANPI 1538771282
Title
Owner
Phone
(330) 980-2353

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2703 Mahoning Ave Ste 103
Youngstown, OH 44509-2337

Mailing address

2703 Mahoning Ave Ste 103
Youngstown, OH 44509-2337
Phone (330) 980-2353

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PANACEABEHAVIORTHERAPY@GMAI.COM Direct

National Provider Directory

National Provider Directory

Locations

2703 Mahoning Ave
Ste 103
Youngstown, OH 44509
Phone (330) 980-2353

Interoperability endpoints

  • Direct secure messaging: panaceabehaviortherapy@gmai.com

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": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1235742685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 MAHONING AVE STE 103",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445092337",
            "telephone_number": "330-980-2353",
            "fax_number": "330-781-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 MAHONING AVE STE 103",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445092337",
            "telephone_number": "330-980-2353",
            "fax_number": "330-781-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA BEHAVIOR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-980-2353",
        "authorized_official_credential": "CDCA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PANACEABEHAVIORTHERAPY@GMAI.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2703 Mahoning Ave Ste 103",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445092337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.