Organization Active NPI

Family and Child Abuse Prevention Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toledo, OH
National Provider Identifier
1356989792
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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.DNPI 1659554038
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200414000381 OH Part B Supplier - Clinic/Group Practice 3577993617 Receives reassigned benefits from 5 practitioners
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.