NPIMap

Organization Active NPI

Health Resource Center of Cincinnati, Inc.

  • Adult Mental Health Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1386765626
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HEALTH RESOURCE CENTER OF CINCINNATI, INC.
Practice address
2347 Vine St
Cincinnati, OH 45219-1745
Phone
(513) 357-4602
Fax
(513) 621-2350
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Dr. Connie Ronan Wilson, EDD, LPCC APRN-BC
Title
President & Ceo
Phone
(513) 357-4602

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X OH
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2347 Vine St
Cincinnati, OH 45219-1745

Mailing address

2347 Vine St
Cincinnati, OH 45219-1745
Phone (513) 357-4602

Other identifiers 1

IdentifierTypeStateIssuer
12556MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140805001246 OH Part B Supplier - Clinic/Group Practice 2365669959 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
Practice locations: Cincinnati, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Health Resource Center of Cincinnati Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2347 Vine St
Fl Second
Cincinnati, OH 45219
Phone (513) 357-4602

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1386765626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191745",
            "telephone_number": "513-357-4602",
            "fax_number": "513-621-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191745",
            "telephone_number": "513-357-4602",
            "fax_number": "513-621-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH RESOURCE CENTER OF CINCINNATI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "RONAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "513-357-4602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LPCC APRN-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12556",
            "state": "OH"
        }
    ],
    "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 Mar 19, 2013; 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.