Jefferson Behavioral Health System

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1310 Issued in OH

Legal business name

JEFFERSON BEHAVIORAL HEALTH SYSTEM

Practice address

3200 Johnson Rd
Steubenville, OH 43952-2363

Phone

(740) 264-7751

Fax

(740) 264-2422

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Anthony J Sheposh, LPC

Title

Ceo

Phone

(740) 264-7751

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jefferson Behavioral Health System2 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.

• Jefferson Behavioral Health System

  • Community/Behavioral Health Agency
  • Steubenville, OH
  • NPI 1962674580
  NPD tax ID

Locations

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1669730487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 JOHNSON RD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522363",
            "telephone_number": "740-264-7751",
            "fax_number": "740-264-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 JOHNSON RD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522363",
            "telephone_number": "740-264-7751",
            "fax_number": "740-264-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON BEHAVIORAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "SHEPOSH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-264-7751",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "1310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2921262",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Jarecki, LMHP
• Megan Marie Jarvis, MA LPC
• Sangmo Je, MD
• Jeffco Services
• Jefferson Behavioral Health System
• Jefferson Behavioral Health System
• Jefferson County Auditor
• Jefferson County Board of MRDD
• Jefferson County Educational Service Center
• Jefferson County Fourth Street Health Center

• Community/Behavioral Health Agency in Steubenville, OH
• Providers in Steubenville, 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 Apr 30, 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.