Trillium Family Solutions Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

524 Issued in OH

Legal business name

TRILLIUM FAMILY SOLUTIONS INC

Practice address

624 Market Ave N
Canton, OH 44702-1017

Phone

(330) 454-7066

Fax

(330) 454-9427

NPI assigned

Apr 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy K Trubisky, MED EDS LPC-S

Title

Chief Executive Officer

Phone

(330) 454-7066

Specialties & licenses 7

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Kathryn Ann Abersold, PHD LPPC

  • Mental Health Counselor
  • Canton, OH
  • NPI 1336302694
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1629034830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021017",
            "telephone_number": "330-454-7066",
            "fax_number": "330-454-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021017",
            "telephone_number": "330-454-7066",
            "fax_number": "330-454-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM FAMILY SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "TRUBISKY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "330-454-7066",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED EDS LPC-S"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "524",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "10023",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "524",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "524",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OH",
            "license": "524",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OH",
            "license": "021542450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098340",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MACSIS UPI",
            "identifier": "10023",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri County Dermatology, Inc.
• Tri-State Service LLC
• Latoya Trice
• Trillium Family Solutions
• Trillium Family Solutions
• Trillium Family Solutions, Inc.
• Madalynn Triner, RBT
• Stacy D Triola, LPC
• Katricia Nichole Triplett-Evans, MS, QMHS
• Denise A Tripp, LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Canton, OH
• Providers in Canton, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.