Active NPI
Benevolent Therapy LLC
- Clinical Social Worker
- Toledo, OH
National Provider Identifier
1760201461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BENEVOLENT THERAPY LLC
- Practice address
- 3454 Oak Alley CT Ste 214
Toledo, OH 43606-1370 - Phone
- (419) 740-1836
- NPI assigned
- Oct 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Jambor, LISW
- Title
- Owner
- Phone
- (419) 341-8728
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Registered Nurse | 163W00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
3454 Oak Alley CT Ste 214
Toledo, OH 43606-1370
Mailing address
3454 Oak Alley CT Ste 214
Toledo, OH 43606-1370
Phone (419) 740-1836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3775 Truman Rd
Perrysburg, OH 43551
3454 Oak Alley Ct
Ste 214
Toledo, OH 43606
Phone (419) 536-9670
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Toledo, OH
- NPI 1457902173
-
- Clinical Social Worker
- Toledo, OH
- NPI 1205283900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737504000000",
"number": "1760201461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3454 OAK ALLEY CT STE 214",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061370",
"telephone_number": "419-740-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3454 OAK ALLEY CT STE 214",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061370",
"telephone_number": "419-740-1836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENEVOLENT THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-09",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A",
"authorized_official_last_name": "JAMBOR",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-341-8728",
"authorized_official_credential": "LISW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.