Active NPI
Success 1 Services, LLC
- Marriage & Family Therapist
- Bedford, OH
National Provider Identifier
1508058736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- F051
- Legal business name
- SUCCESS 1 SERVICES, LLC
- Practice address
- 670 Broadway Ave
Bedford, OH 44146-3642 - Phone
- (440) 439-9250
- NPI assigned
- Aug 12, 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
- Tonya L. Hunter, LIMFT
- Title
- Ceo
- Phone
- (440) 439-9250
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0007152 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 031002 | OH | |
| Social Worker | 104100000X | S0023943 | OH | |
| Clinical Social Worker | 1041C0700X | 0008746 | OH | |
| Marriage & Family Therapist | 106H00000X | F051 | OH | Primary |
Addresses
Primary practice location
670 Broadway Ave
Bedford, OH 44146-3642
Mailing address
670 Broadway Ave
Bedford, OH 44146-3642
Phone (440) 439-9250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11762402 | Other | OH | CAQH |
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.
-
- Professional Counselor
- Bedford, OH
- NPI 1003014085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186876800000",
"number": "1508058736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 BROADWAY AVE",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441463642",
"telephone_number": "440-439-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 BROADWAY AVE",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441463642",
"telephone_number": "440-439-9250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUCCESS 1 SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-12",
"last_updated": "2007-08-12",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "440-439-9250",
"authorized_official_credential": "LIMFT"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "OH",
"license": "0007152",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "031002",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "OH",
"license": "S0023943",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "0008746",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "F051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11762402",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.