NPIMap

Organization Active NPI

CJ Thomas Mental Health, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toledo, OH
National Provider Identifier
1366284275
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CJ THOMAS MENTAL HEALTH, LLC
Practice address
5461 Southwyck Blvd Ste 2L
Toledo, OH 43614-1553
Phone
(419) 913-8680
NPI assigned
Jun 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Deborah Rayford, LSW
Title
Owner
Phone
(419) 913-8680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5461 Southwyck Blvd Ste 2L
Toledo, OH 43614-1553

Mailing address

5461 Southwyck Blvd Ste 2L
Toledo, OH 43614-1553
Phone (419) 913-8680

National Provider Directory

National Provider Directory
Tax ID family
CJ Thomas Mental Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5461 Southwyck Blvd
Ste 2L
Toledo, OH 43614
Phone (419) 913-8680

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1366284275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 SOUTHWYCK BLVD STE 2L",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141553",
            "telephone_number": "419-913-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 SOUTHWYCK BLVD STE 2L",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141553",
            "telephone_number": "419-913-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ THOMAS MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "RAYFORD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-913-8680",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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 Jun 11, 2024; 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.