Active NPI
Ben-El Child and Family Center
- Community/Behavioral Health Agency
- Urbana, OH
National Provider Identifier
1487633194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2008
- 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
- Mr. Than Johnson
- Title
- Ceo
- Phone
- (937) 653-1320
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10065 | Medicaid | OH |
Other names 1
- BenEl Child Development Center
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Urbana, OH
- NPI 1508067513
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.