Active NPI
MBHC Inc
- Mental Health Counselor
- Perrysburg, OH
National Provider Identifier
1457548224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 35057923
- Legal business name
- MBHC INC
- Practice address
- 27475 Holiday LN Ste 2
Perrysburg, OH 43551-3350 - Phone
- (419) 872-0619
- Fax
- (419) 872-2466
- NPI assigned
- Sep 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles S Burke, MD
- Title
- President
- Phone
- (419) 872-0619
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 35057923 | OH | Primary |
Addresses
Primary practice location
27475 Holiday LN Ste 2
Perrysburg, OH 43551-3350
Mailing address
27475 Holiday LN Ste 2
Perrysburg, OH 43551-3350
Phone (419) 872-0619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
27475 Holiday Ln
Ste 2
Perrysburg, OH 43551
Phone (419) 872-0519
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Perrysburg, OH
- NPI 1164408175
-
- Counselor
- Sylvania, OH
- NPI 1477525475
-
- Psychiatric/Mental Health Nurse Practitioner
- Perrysburg, OH
- NPI 1528298288
-
- Mental Health Counselor
- Perrysburg, OH
- NPI 1871035790
-
- Marriage & Family Therapist
- Perrysburg, OH
- NPI 1811436538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190764800000",
"number": "1457548224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27475 HOLIDAY LN STE 2",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435513350",
"telephone_number": "419-872-0619",
"fax_number": "419-872-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27475 HOLIDAY LN STE 2",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435513350",
"telephone_number": "419-872-0619",
"fax_number": "419-872-2466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MBHC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-26",
"last_updated": "2007-09-26",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-872-0619",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "35057923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.