Ohio Family Counseling and Recovery Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OHIO FAMILY COUNSELING AND RECOVERY SERVICES, LLC

Doing business as

Ohio Familiy Counseling and Recovery Services, LLC

Practice address

17325 Euclid Ave Ste 3026
Cleveland, OH 44112-1255

Phone

(803) 565-9742

NPI assigned

May 15, 2018

Last updated

Jun 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Demetrius Henderson

Title

Director of Quality Assurance

Phone

(803) 565-9742

Specialties & licenses 1

Addresses

Other names 1

• Ohio Familiy Counseling and Recovery Services, LLC Doing business as

Locations

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.

• Richard Russell

  • Case Manager/Care Coordinator
  • Cleveland, OH
  • NPI 1881371417
  NPD

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1356831432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE STE 4028",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121270",
            "telephone_number": "803-565-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE STE 3026",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121255",
            "telephone_number": "803-565-9742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8894 Chinaberry Cir N",
            "address_purpose": "LOCATION",
            "city": "Macedonia",
            "state": "OH",
            "postal_code": "440562399",
            "country_code": "US",
            "telephone_number": "216-641-6855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OHIO FAMILY COUNSELING AND RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY ASSURANCE",
        "authorized_official_telephone_number": "803-565-9742",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Familiy Counseling and Recovery Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.