Organization Active NPI

Success 1 Services, LLC

  • Marriage & Family Therapist
  • Bedford, OH
National Provider Identifier
1508058736
Registry record updated Aug 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F051 Issued in OH
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

Updated by the provider on Aug 12, 2007

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)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 0007152 OH
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 031002 OH
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X S0023943 OH
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0008746 OH
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
11762402OtherOHCAQH

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": "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.

Verify at the official NPI Registry.