Community Counseling Services Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0177 Issued in OH

Legal business name

COMMUNITY COUNSELING SERVICES INC

Practice address

2458 Stetzer Rd
Bucyrus, OH 44820-2066

Phone

(419) 562-2000

Fax

(419) 562-1296

NPI assigned

Mar 5, 2008

Last updated

Mar 5, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMUNITY COUNSELING SERVICES INCAs reported in NPPES

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

Authorized official

Name

Mr. Paul E Sipes, CPA

Title

Controller

Phone

(419) 562-2000

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Community Counseling SE2 organizations share this tax ID, including this one

Part of

Community Counseling SE

Other organizations with this tax ID 1

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

• Community Counseling Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bucyrus, OH
  • NPI 1487913539
  NPD tax ID

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1780854836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2458 STETZER RD",
            "address_2": "PO BOX 765",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202066",
            "telephone_number": "419-562-2000",
            "fax_number": "419-562-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 STETZER RD",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202066",
            "telephone_number": "419-562-2000",
            "fax_number": "419-562-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY COUNSELING SERVICES INC",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "SIPES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "419-562-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "0177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2480748",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMH CERTIFICATION",
            "identifier": "0177",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "9220681",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMH MACSIS",
            "identifier": "1057",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Club View Vision Center, Inc.
• Amy Coats, PHARMD
• Barbara Jean Cochran, SPCC
• Dana Coe, LMT
• Wayne H Collier, O.D.
• Community Counseling Services, Inc.
• Community Counseling Services, Inc.
• Kelly A Conn, LISW
• Glen E Cooke, M.D.
• Kristi Michelle Copus

• Community/Behavioral Health Agency in Bucyrus, OH
• Providers in Bucyrus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.