Active NPI
Family and Child Abuse Prevention Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Toledo, OH
National Provider Identifier
1356989792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- FAMILY AND CHILD ABUSE PREVENTION CENTER
- Practice address
- 2460 Cherry St
Toledo, OH 43608-2667 - Phone
- (419) 244-3053
- Fax
- (419) 244-1100
- NPI assigned
- Dec 17, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Christie D Jenkins, LPCC S, NCC, PH.D
- Title
- Chief Executive Officer
- Phone
- (419) 244-3053
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Toledo, OH
- NPI 1851809461
OH
-
- Case Manager/Care Coordinator
- Toledo, OH
- NPI 1033773304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200414000381 | OH | Part B Supplier - Clinic/Group Practice | 3577993617 |
Receives reassigned benefits from 5 practitioners Practice locations: Toledo, OH |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2460 Cherry St
Toledo, OH 43608-2667
Mailing address
2460 Cherry St
Toledo, OH 43608-2667
Phone (419) 244-3053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 17, 2019.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576540800000",
"number": "1356989792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 CHERRY ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082667",
"telephone_number": "419-244-3053",
"fax_number": "419-244-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 CHERRY ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082667",
"telephone_number": "419-244-3053",
"fax_number": "419-244-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY AND CHILD ABUSE PREVENTION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "CHRISTIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "419-244-3053",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LPCC S, NCC, PH.D"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Dec 17, 2019; 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.