Organization Active NPI

Bhconsultation, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lancaster, OH
National Provider Identifier
1508434259
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BHCONSULTATION, LLC
Practice address
624 E Main St
Lancaster, OH 43130-3903
Phone
(740) 475-0488
Fax
(740) 409-6976
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Bradley Alan Hedges, PHDNPI 1225262520
Title
Psychologist/Owner
Phone
(740) 475-0488

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

624 E Main St
Lancaster, OH 43130-3903

Mailing address

3527 Paradise Rd
Sugar Grove, OH 43155-9648
Phone (740) 243-0740

Other identifiers 1

IdentifierTypeStateIssuer
0891816MedicaidOH

Other names 1

  • BHConsultation Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211025001588 OH Part B Supplier - Clinic/Group Practice 6305234311 Receives reassigned benefits from 2 practitioners
Practice locations: Lancaster, OH

National Provider Directory

National Provider Directory

Locations

624 E Main St
Lancaster, OH 43130
Phone (740) 475-0488

Practitioners & affiliated clinicians

Practitioners 3

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": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1508434259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 PARADISE RD",
            "city": "SUGAR GROVE",
            "state": "OH",
            "postal_code": "431559648",
            "telephone_number": "740-243-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303903",
            "telephone_number": "740-475-0488",
            "fax_number": "740-409-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHCONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "HEDGES",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "740-475-0488",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0891816",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHConsultation",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BHConsultation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.