Organization Active NPI

Ben-El Child and Family Center

  • Community/Behavioral Health Agency
  • Urbana, OH
National Provider Identifier
1487633194
Registry record updated Dec 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BEN-EL CHILD AND FAMILY CENTER
Practice address
1150 Scioto St.
Suite 200
Urbana, OH 43078
Phone
(937) 652-4555
Fax
(937) 652-4945
NPI assigned
Jan 11, 2006
Last updated
Dec 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2008

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

Authorized official

Name
Mr. Than Johnson
Title
Ceo
Phone
(937) 653-1320

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0074 OH
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1150 Scioto St.
Suite 200
Urbana, OH 43078

Mailing address

PO Box 755
Urbana, OH 43078
Phone (937) 652-4555

Other identifiers 1

IdentifierTypeStateIssuer
10065MedicaidOH

Other names 1

  • BenEl Child Development Center Former legal business name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230249600000",
    "number": "1487633194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 755",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "43078",
            "telephone_number": "937-652-4555",
            "fax_number": "937-652-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SCIOTO ST.",
            "address_2": "SUITE 200",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "43078",
            "telephone_number": "937-652-4555",
            "fax_number": "937-652-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN-EL CHILD AND FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-12-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-653-1320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0074",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10065",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BenEl Child Development Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; 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.