Cleveland Behavioral Therapy LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

2919 Issued in AL

Legal business name

CLEVELAND BEHAVIORAL THERAPY LLC

Practice address

9238 Madison Blvd
Madison, AL 35758-9100

Phone

(256) 603-1381

NPI assigned

Aug 5, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Dawn Cleveland, LPC, NCCNPI 1326337825

Title

Licensed Counselor

Phone

(256) 603-1381

Specialties & licenses 1

Addresses

Other names 1

• The Balanced Life LLC Doing business as

Locations

Practitioners 1

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

• Jessica D Cleveland, M.S., LPC, NCC

  • Professional Counselor
  • Madison, AL
  • NPI 1326337825
  NPD (past) Authorized official

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1720464498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11019 DOVE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357564301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9238 MADISON BLVD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589100",
            "telephone_number": "256-603-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND BEHAVIORAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "LICENSED COUNSELOR",
        "authorized_official_telephone_number": "256-603-1381",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AL",
            "license": "2919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Balanced Life LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Clark, RBT
• Jonathan Daniel Clark, MS, LAT, ATC
• Kyle N Clark, RBT
• Elise Rebecca Clem, MD
• Richard T. Clem, PT
• Jessica D Cleveland, M.S., LPC, NCC
• Clinic for Women PA
• Clinic for Women, P.a.
• Charles D. Coffey, M.D.
• Amelia M Cohen, LPC

• Exclusive Provider Organization in Madison, AL
• Providers in Madison, AL by specialty
• Exclusive Provider Organization in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.