NPIMap

Organization Active NPI

Minority Behavioral Health Group

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1811204977
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINORITY BEHAVIORAL HEALTH GROUP
Practice address
1293 Copley Rd
Akron, OH 44320-2766
Phone
(330) 374-1199
Fax
(330) 374-0151
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Mrs. Debra Philmore-Stroud, LSW
Title
Administrator
Phone
(330) 374-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X OH Primary

Addresses

Primary practice location

1293 Copley Rd
Akron, OH 44320-2766

Mailing address

1293 Copley Rd
Akron, OH 44320-2766
Phone (330) 374-1199

Other identifiers 2

IdentifierTypeStateIssuer
101YM0800XMedicaidOH
101YM0800XOtherOHALL PRIVATE INSURANCES

Other names 1

  • MBHG Other name

National Provider Directory

National Provider Directory
Tax ID family
Akron Community Development Assn4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1811204977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 COPLEY RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202766",
            "telephone_number": "330-374-1199",
            "fax_number": "330-374-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 COPLEY RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202766",
            "telephone_number": "330-374-1199",
            "fax_number": "330-374-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINORITY BEHAVIORAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "PHILMORE-STROUD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-374-1199",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YM0800X",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL PRIVATE INSURANCES",
            "identifier": "101YM0800X",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MBHG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.