NPIMap

Organization Active NPI

Unison Behavioral Health Group, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Toledo, OH
National Provider Identifier
1306105382
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3440 Issued in OH
Legal business name
UNISON BEHAVIORAL HEALTH GROUP, INC
Practice address
1425 Starr Ave
Toledo, OH 43605-2456
Phone
(419) 693-0631
Fax
(419) 936-7606
NPI assigned
May 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Jacob Mickey
Title
Revenue Cycle Coordinator
Phone
(419) 693-0631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 3440 OH Primary

Addresses

Primary practice location

1425 Starr Ave
Toledo, OH 43605-2456

Mailing address

1425 Starr Ave
Toledo, OH 43605-2456
Phone (419) 693-0631

Other practice location 1

1084 S Main St Ste A
Bowling Green, OH 43402-4740
Phone (419) 693-0631

Other practice location 2

544 E Woodruff Ave
Toledo, OH 43604-5342
Phone (419) 693-0631

Other practice location 3

1212 Cherry St
Toledo, OH 43608-2906
Phone (419) 693-0631

Other practice location 4

1011 Sandusky St Ste C
Perrysburg, OH 43551-3171
Phone (419) 693-0631

Other identifiers 1

IdentifierTypeStateIssuer
2863969MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Unison Behavioral Health Group Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1084 S Main St
Ste A
Bowling Green, OH 43402
Phone (419) 352-4624

1212 Cherry St
Toledo, OH 43608
Phone (419) 243-6326

2310 Jefferson Ave
Toledo, OH 43604
Phone (419) 214-4673

544 E Woodruff Ave
Toledo, OH 43604
Phone (419) 214-4673

Practitioners & affiliated clinicians

Practitioners 153

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 153

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1306105382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 STARR AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052456",
            "telephone_number": "419-693-0631",
            "fax_number": "419-936-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 STARR AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052456",
            "telephone_number": "419-693-0631",
            "fax_number": "419-936-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1084 S Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434024740",
            "country_code": "US",
            "telephone_number": "419-693-0631",
            "fax_number": "419-936-7606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "544 E Woodruff Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436045342",
            "country_code": "US",
            "telephone_number": "419-693-0631",
            "fax_number": "419-936-7606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082906",
            "country_code": "US",
            "telephone_number": "419-693-0631",
            "fax_number": "419-936-7606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Sandusky St Ste C",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435513171",
            "country_code": "US",
            "telephone_number": "419-693-0631",
            "fax_number": "419-936-7606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNISON BEHAVIORAL HEALTH GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "MICKEY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "REVENUE CYCLE COORDINATOR",
        "authorized_official_telephone_number": "419-693-0631"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "3440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2863969",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.