Organization Active NPI

Child & Adolescent Behavioral Solutions LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Perrysburg, OH
National Provider Identifier
1689443053
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CHILD & ADOLESCENT BEHAVIORAL SOLUTIONS LLC
Practice address
402 Berkshire Dr
Perrysburg, OH 43551-1281
Phone
(216) 789-3929
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Laura Kless, APRN-BC, PMHCNS
Title
Owner
Phone
(216) 789-3929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

402 Berkshire Dr
Perrysburg, OH 43551-1281

Mailing address

402 Berkshire Dr
Perrysburg, OH 43551-1281
Phone (216) 789-3929

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1689443053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BERKSHIRE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511281",
            "telephone_number": "216-789-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BERKSHIRE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511281",
            "telephone_number": "216-789-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & ADOLESCENT BEHAVIORAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "KLESS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-789-3929",
        "authorized_official_credential": "APRN-BC, PMHCNS"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.