NPIMap

Organization Active NPI

12 Step Life Behavioral Health

  • Community/Behavioral Health Agency
  • Cleveland, OH
National Provider Identifier
1447017207
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
12 STEP LIFE BEHAVIORAL HEALTH
Practice address
3803 W 134TH St
Cleveland, OH 44111-4423
Phone
(216) 450-9557
NPI assigned
Feb 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Ms. Jamila Shafawn Hardy, CPRS, CDCA, CPRSNPI 1508371238
Title
Counselor/ Case Manager
Phone
(216) 450-9557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3803 W 134TH St
Cleveland, OH 44111-4423

Mailing address

3803 W 134TH St
Cleveland, OH 44111-4423
Phone (216) 450-9557

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1447017207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W 134TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114423",
            "telephone_number": "216-450-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 W 134TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114423",
            "telephone_number": "216-450-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "12 STEP LIFE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "JAMILA",
        "authorized_official_middle_name": "SHAFAWN",
        "authorized_official_title_or_position": "COUNSELOR/ CASE MANAGER",
        "authorized_official_telephone_number": "216-450-9557",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPRS, CDCA, CPRS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.