Mahoning County Community Corrections Association, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAHONING COUNTY COMMUNITY CORRECTIONS ASSOCIATION, INC.

Doing business as

Community Corrections Association, Inc.

Practice address

1771 Market St
Youngstown, OH 44507-1135

Phone

(330) 744-5143

Fax

(330) 742-8661

NPI assigned

Aug 6, 2021

Organization subpart

No

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

Authorized official

Name

Angela Neely

Title

Cfo

Phone

(330) 744-5143

Specialties & licenses 1

Addresses

Other names 1

• Community Corrections Association, Inc. Doing business as

Electronic endpoints 1

Tax ID family

Community Corrections Association Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mahoning County Community Corrections Association, Inc.

  • Community/Behavioral Health Agency
  • Youngstown, OH
  • NPI 1104505924
  NPD tax ID

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Edward Broll Jr.

  • Addiction (Substance Use Disorder) Counselor
  • Youngstown, OH
  • NPI 1285385062
  NPD
• Amelia Skylar Fisher, CDCA

  • Social Worker
  • Youngstown, OH
  • NPI 1710681762
  NPD
• Shayerra Shamierre Shamierre Franklin, PRS, CDCA

  • Peer Specialist
  • Youngstown, OH
  • NPI 1285513283
  NPD
• Satonia Darlene Johnson, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Youngstown, OH
  • NPI 1457007064
  NPD
• Gabriella Cynthia Jones, LSW

  • Counselor
  • Youngstown, OH
  • NPI 1952142580
  NPD
• Harley Milton Littler III, LCDC III

  • Addiction (Substance Use Disorder) Counselor
  • Youngstown, OH
  • NPI 1194482364
  NPD
• Georgette G. McMillan, LSW

  • Mental Health Counselor
  • Youngstown, OH
  • NPI 1043045586
  NPD
• Jessica Ray, MSW, CDCA

  • Social Worker
  • Youngstown, OH
  • NPI 1437884210

  Community/Behavioral Health

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1568136158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071127",
            "telephone_number": "330-744-5143",
            "fax_number": "330-742-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071135",
            "telephone_number": "330-744-5143",
            "fax_number": "330-742-8661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1764 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445071156",
            "country_code": "US",
            "telephone_number": "330-742-8672",
            "fax_number": "330-742-8661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1608 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445071130",
            "country_code": "US",
            "telephone_number": "330-742-8663",
            "fax_number": "330-742-8661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1806 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445071136",
            "country_code": "US",
            "telephone_number": "330-747-7878",
            "fax_number": "330-742-8661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAHONING COUNTY COMMUNITY CORRECTIONS ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-744-5143"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aneely@ccaworks.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1771 Market St",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445071135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community Corrections Association, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Corrections Association, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latasha K Mahone
• Roslyn Mahone, BS
• Mahoning Anesthesia Consultants, LLC
• Mahoning Avenue Dental Health Center Michael Crites DDS Inc (Jamboree Dental)
• Mahoning County Community Corrections Association, Inc.
• Mahoning County Educational Service Center
• Mahoning Lab Solutions, LLC. (Any Lab Test Now - Youngstown)
• Mahoning Medical Equipment Inc. (Mahoning Medical Supply Inc.)
• Mahoning Unlimited Classroom
• Mahoning Valley Birth Center LLC

• Community/Behavioral Health Agency in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.