God's Success Re-Entry Recovery Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GOD'S SUCCESS RE-ENTRY RECOVERY SERVICES

Practice address

1416 Nebraska Ave
Toledo, OH 43607-4101

Phone

(419) 699-8759

NPI assigned

Mar 19, 2014

Last updated

Mar 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Kandann Williams, MSW/LICDCNPI 1083031751

Title

Founder/Executive Director

Phone

(419) 699-8759

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kandann Williams

  • Addiction (Substance Use Disorder) Counselor
  • Toledo, OH
  • NPI 1083031751
  NPD (past) Authorized official

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1811314503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 ELYSIAN AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436073122",
            "telephone_number": "419-699-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 NEBRASKA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436074101",
            "telephone_number": "419-699-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOD'S SUCCESS RE-ENTRY RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KANDANN",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-699-8759",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSW/LICDC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole R Goben, LPN
• Susanna Goblirsch, NP-C
• Hannah Michelle Goby
• Michele Gochenour
• God's Loving Arms Retreat
• Erica Godsey, CNP
• Amanda June Goeckerman, PT, DPT
• Nicole Marie Goeckerman, PTA
• Annu R Goel, DPM
• Kelly Jean Goen

• Community/Behavioral Health Agency in Toledo, OH
• Providers in Toledo, 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 19, 2014; 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.