Active NPI
Charles Lamont Hankton, LPCC
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Bedford HTS, OH
National Provider Identifier
1699899864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- E0003897
- Practice address
- 5593 Carlton Dr
Bedford HTS, OH 44146-2329 - Phone
- (440) 232-3128
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | E0003897 | OH | Primary |
Addresses
Primary practice location
5593 Carlton Dr
Bedford HTS, OH 44146-2329
Mailing address
5593 Carlton Dr
Bedford HTS, OH 44146-2329
Phone (440) 232-3128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0003897 | OH | MD | Emotionally Disturbed Childrens' Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699899864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5593 CARLTON DR",
"city": "BEDFORD HTS",
"state": "OH",
"postal_code": "441462329",
"telephone_number": "440-232-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5593 CARLTON DR",
"city": "BEDFORD HTS",
"state": "OH",
"postal_code": "441462329",
"telephone_number": "440-232-3128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANKTON",
"first_name": "CHARLES",
"middle_name": "LAMONT",
"name_prefix": "Mr.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "OH",
"license": "E0003897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.