NPIMap

Organization Active NPI

Catholic Charities Community Services Corporation

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1699730499
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0162 Issued in OH
Legal business name
CATHOLIC CHARITIES COMMUNITY SERVICES CORPORATION
Practice address
640 North Main Street
Akron, OH 44310-3017
Phone
(330) 762-7481
Fax
(330) 762-7484
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Mr. Donald P. Finn, DIRECTOR
Title
Director
Phone
(330) 762-7481

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 0162 OH Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0162 OH

Addresses

Primary practice location

640 North Main Street
Akron, OH 44310-3017

Mailing address

812 Biruta Street
Akron, OH 44307-1104
Phone (330) 762-7481

Other identifiers 2

IdentifierTypeStateIssuer
CA9254301OtherOHGROUP MEDICARE
MC441800MedicaidOH

Other names 1

  • Catholic Service League Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities Community Services Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1699730499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 BIRUTA STREET",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443071104",
            "telephone_number": "330-762-7481",
            "fax_number": "330-762-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 NORTH MAIN STREET",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443103017",
            "telephone_number": "330-762-7481",
            "fax_number": "330-762-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES COMMUNITY SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "FINN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "330-762-7481",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "0162",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0162",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "CA9254301",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC441800",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Service League",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.