NPIMap

Organization Active NPI

Ohioguidestone

  • Preferred Provider Organization
  • Berea, OH
National Provider Identifier
1588935779
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
E0004854 Issued in OH
Legal business name
OHIOGUIDESTONE
Practice address
303 E Bagley Rd
Berea, OH 44017-2040
Phone
(440) 260-8366
NPI assigned
Jan 19, 2012
Last updated
Aug 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Authorized official

Name
Dr. Ben Kearney, PH.D.
Title
Vice President, Counseling
Phone
(440) 260-8340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X E0004854 OH Primary

Addresses

Primary practice location

303 E Bagley Rd
Berea, OH 44017-2040

Mailing address

434 Eastland Rd.
Berea, OH 44017-2058
Phone (440) 260-8300

Other names 1

  • berea children's home Other name

National Provider Directory

National Provider Directory
Tax ID family
Guidestone20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1588935779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 EASTLAND RD.",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172058",
            "telephone_number": "440-260-8300",
            "fax_number": "440-234-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172040",
            "telephone_number": "440-260-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIOGUIDESTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "KEARNEY",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "VICE PRESIDENT, COUNSELING",
        "authorized_official_telephone_number": "440-260-8340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "E0004854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "berea children's home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berea, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.