NPIMap

Organization Active NPI

Family Promise of Greater Cleveland

  • Community/Behavioral Health Agency
  • Cleveland, OH
National Provider Identifier
1730847831
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY PROMISE OF GREATER CLEVELAND
Practice address
3470 E 152ND St
Cleveland, OH 44120-4242
Phone
(216) 767-4060
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Jacqueline Susan Salter, PCC-S, LMFTNPI 1982091708
Title
Executive Director
Phone
(216) 767-4061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3470 E 152ND St
Cleveland, OH 44120-4242

Mailing address

3470 E 152ND St
Cleveland, OH 44120-4242
Phone (216) 767-4060

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL familypromisecle.org

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1730847831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 E 152ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204242",
            "telephone_number": "216-767-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 E 152ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204242",
            "telephone_number": "216-767-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PROMISE OF GREATER CLEVELAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "SALTER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-767-4061",
        "authorized_official_credential": "PCC-S, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "familypromisecle.org",
            "affiliation": "N",
            "address_1": "3470 E 152nd St",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441204242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.