Organization Active NPI

Eating Recovery Center of Ohio, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
National Provider Identifier
1366830499
Registry record updated Apr 30, 2024
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
EATING RECOVERY CENTER OF OHIO, LLC
Practice address
3805 Edwards Rd
Suite 400
Cincinnati, OH 45209-1900
Phone
(312) 540-9955
Fax
(312) 540-0944
NPI assigned
Dec 23, 2014
Organization subpart
Yes
Parent organization
EATING RECOVERY CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Jess Joslin
Title
Credentialing Supervisor
Phone
(303) 731-8164

Specialties & licenses 1

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

Addresses

Primary practice location

3805 Edwards Rd
Suite 400
Cincinnati, OH 45209-1900

Mailing address

333 N Michigan Ave
Suite 1900
Chicago, IL 60601-3901
Phone (773) 321-2848

National Provider Directory

National Provider Directory
Part of
Eating Recovery Center Pharmacy

Locations

3805 Edwards Rd
Ste 400
Cincinnati, OH 45209
Phone (513) 808-9220

Practitioners & affiliated clinicians

Practitioners 3

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": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1366830499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE",
            "address_2": "SUITE 1900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013901",
            "telephone_number": "773-321-2848",
            "fax_number": "312-540-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 EDWARDS RD",
            "address_2": "SUITE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091900",
            "telephone_number": "312-540-9955",
            "fax_number": "312-540-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING RECOVERY CENTER OF OHIO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EATING RECOVERY CENTER, LLC",
        "enumeration_date": "2014-12-23",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "JOSLIN",
        "authorized_official_first_name": "JESS",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "303-731-8164"
    },
    "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 Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.