NPIMap

Organization Active NPI

Unity Behavioral Health

  • Mental Health Counselor
  • Port Clinton, OH
National Provider Identifier
1811736804
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
UNITY BEHAVIORAL HEALTH
Practice address
1632 E Perry St
Port Clinton, OH 43452-1332
Phone
(419) 960-5559
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Alicia Boreman, LPCC-S
Title
Chief Operations Officer
Phone
(419) 819-8428

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X

Addresses

Primary practice location

1632 E Perry St
Port Clinton, OH 43452-1332

Mailing address

1632 E Perry St
Port Clinton, OH 43452-1332

Other practice location 1

1224 West St
Genoa, OH 43430-1330
Phone (419) 960-5559

National Provider Directory

National Provider Directory

Locations

1224 West St
Genoa, OH 43430
Phone (419) 960-5559

1632 E Perry St
Port Clinton, OH 43452
Phone (419) 602-0045

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1811736804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 E PERRY ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 E PERRY ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521332",
            "telephone_number": "419-960-5559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 West St",
            "address_purpose": "LOCATION",
            "city": "Genoa",
            "state": "OH",
            "postal_code": "434301330",
            "country_code": "US",
            "telephone_number": "419-960-5559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "BOREMAN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "419-819-8428",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Clinton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.