NPIMap

Organization Active NPI

Leap of Faith Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ravenna, OH
National Provider Identifier
1487483418
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LEAP OF FAITH RECOVERY
Doing business as
Leap of Faith Recovery
Practice address
5884 Knapp Rd
Ravenna, OH 44266-8848
Phone
(330) 849-4034
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Lisa Ellen Parsons, LICDC-CSNPI 1427580547
Title
Clinical Direcctor
Phone
(330) 849-4034

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)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5884 Knapp Rd
Ravenna, OH 44266-8848

Mailing address

5884 Knapp Rd
Ravenna, OH 44266-8848
Phone (330) 849-4034

Other names 1

  • Leap of Faith Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Leap of Faith Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1487483418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5884 KNAPP RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442668848",
            "telephone_number": "330-849-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5884 KNAPP RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442668848",
            "telephone_number": "330-849-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP OF FAITH RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CLINICAL DIRECCTOR",
        "authorized_official_telephone_number": "330-849-4034",
        "authorized_official_credential": "LICDC-CS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leap of Faith Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.