NPIMap

Organization Active NPI

Outland Behavioral Health

  • Mental Health Counselor
  • Parma Heights, OH
National Provider Identifier
1497485122
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OUTLAND BEHAVIORAL HEALTH
Practice address
5934 Hodgman Dr
Parma Heights, OH 44130-2153
Phone
(216) 407-7108
Fax
(216) 359-3646
NPI assigned
Jun 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Ms. Jennifer Marie Outland, MSED, LPCC-SNPI 1184117673
Title
Licensed Counselor Supervisor
Phone
(216) 407-7108

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
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5934 Hodgman Dr
Parma Heights, OH 44130-2153

Mailing address

5934 Hodgman Dr
Parma Heights, OH 44130-2153
Phone (216) 407-7108

Other identifiers 1

IdentifierTypeStateIssuer
1184117673MedicaidOH

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": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1497485122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5934 HODGMAN DR",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441302153",
            "telephone_number": "216-407-7108",
            "fax_number": "216-359-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5934 HODGMAN DR",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441302153",
            "telephone_number": "216-407-7108",
            "fax_number": "216-359-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTLAND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "OUTLAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED COUNSELOR SUPERVISOR",
        "authorized_official_telephone_number": "216-407-7108",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSED, LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184117673",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.