NPIMap

Organization Active NPI

Empowered for Excellence Behavioral Health Ohio

  • Community/Behavioral Health Agency
  • Toledo, OH
National Provider Identifier
1417496233
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
01-7525 Issued in OH
Legal business name
EMPOWERED FOR EXCELLENCE BEHAVIORAL HEALTH OHIO
Practice address
3170 W Central Ave Ste B
Toledo, OH 43606-2945
Phone
(567) 316-7253
Fax
(567) 316-7232
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Jonathan James
Title
Ceo
Phone
(567) 316-7253

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 13787 OH
Community/Behavioral Health Agency 251S00000X 01-7525 OH Primary

Addresses

Primary practice location

3170 W Central Ave Ste B
Toledo, OH 43606-2945

Mailing address

3170 W Central Ave Ste B
Toledo, OH 43606-2945
Phone (567) 316-7253

Other practice location 1

1201 Champlain St
Toledo, OH 43604-1907
Phone (567) 316-7253

Other identifiers 2

IdentifierTypeStateIssuer
01-7525MedicaidOH
13787MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Empowered for Excellence Behavioral Health Ohio4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1417496233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 W CENTRAL AVE STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062945",
            "telephone_number": "567-316-7253",
            "fax_number": "567-316-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 W CENTRAL AVE STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062945",
            "telephone_number": "567-316-7253",
            "fax_number": "567-316-7232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Champlain St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436041907",
            "country_code": "US",
            "telephone_number": "567-316-7253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWERED FOR EXCELLENCE BEHAVIORAL HEALTH OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "567-316-7253"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "13787",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "01-7525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-7525",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13787",
            "state": "OH"
        }
    ],
    "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 Jan 3, 2019; 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.