Family Connection of Wadsworth 3 LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FAMILY CONNECTION OF WADSWORTH 3 LLC

Practice address

140 Wadsworth Rd
Wadsworth, OH 44281-9503

Phone

(234) 281-4325

NPI assigned

Oct 6, 2021

Organization subpart

No

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

Authorized official

Name

Chelsea WaltonNPI 1902311624

Title

LPCC, MFT/Owner

Phone

(234) 281-4325

Specialties & licenses 1

Addresses

Practitioners 1

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

• Chelsea Walton, LPCC MFT

  • Mental Health Counselor
  • Wadsworth, OH
  • NPI 1902311624
  NPD Authorized official

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1790447704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WADSWORTH RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WADSWORTH RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819503",
            "telephone_number": "234-281-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CONNECTION OF WADSWORTH 3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "LPCC, MFT/OWNER",
        "authorized_official_telephone_number": "234-281-4325"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Evans
• Luisa Fabella, M.D.
• Family Connection 8, LLC
• Family Connection 9 LLC
• Family Connection of Wadsworth
• Family Connection of Wadsworth IV, LLC
• Family Dentistry on the Square, Inc
• Family Practice Center of Wadsworth Inc
• Family Statcare of Northeast Ohio, LLC
• Theresa Ann Farello, LPCC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.