NPIMap

Organization Active NPI

Community Action Agency of Columbiana County Inc

Doing business as CAA Health Center at Lisbon

  • Federally Qualified Health Center (FQHC)
  • Lisbon, OH
National Provider Identifier
1821041401
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC
Doing business as
CAA Health Center at Lisbon
CAA Health and Behavioral Health at Lisbon
Lisbon Community Health Center
Practice address
7880 Lincole PL
Lisbon, OH 44432-8322
Phone
(330) 424-5686
Fax
(330) 424-4012
NPI assigned
May 18, 2006
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Jenna Wonner
Title
Coo
Phone
(330) 424-7221

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

7880 Lincole PL
Lisbon, OH 44432-8322

Mailing address

7880 Lincole PL
Lisbon, OH 44432-8322
Phone (330) 424-5686

Other practice location 1

38722 Saltwell Rd
Lisbon, OH 44432-8303
Phone (330) 424-4192

Other identifiers 1

IdentifierTypeStateIssuer
0968663MedicaidOH

Other names 3

  • CAA Health Center at Lisbon Doing business as
  • CAA Health and Behavioral Health at Lisbon Doing business as
  • Lisbon Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20130408000488 OH Part B Supplier - Clinic/Group Practice 8123928645 Receives reassigned benefits from 33 practitioners
7 other NPIs on this enrollment
Practice locations: East Liverpool, OH; Hanoverton, OH; Lisbon, OH; Salem, OH; Salineville, OH
O20150807014972 OH Part B Supplier - Clinic/Group Practice 8123928645 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Lisbon, OH
O20221027003063 OH Part A Provider - Federally Qualified Health Center (FQHC) 8123928645 Practice locations: Lisbon, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821041401. Details of each certification follow.

Federally qualified health center certification: CCN 721038

Legal name
COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC
Doing business as
CAA HEALTH CENTER AT LISBON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 5, 2022
Last certification
Oct 5, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationProprietary
Incorporated
Jul 9, 1965 in OH
Enrollment address
7880 Lincole PL
Lisbon, OH 44432-8322

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

16480 Saint Clair Ave
Ste 1
East Liverpool, OH 43920

16687 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-1108

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Roger Bacon Individual Corporate DirectorChair Jan 1, 2026
Patrick Wilson Individual Corporate OfficerBoard Member Jan 1, 2026
James Ford Individual Corporate DirectorBoard Member Jan 1, 2026
Rebecca Tolson Individual Corporate DirectorBoard Member Jan 1, 2026
William Houshour Individual Corporate DirectorVice Chair Jan 1, 2026
Tracey Wonner Individual Corporate OfficerSecretary Jan 1, 2026
Gloria Mathews Individual Corporate DirectorBoard Member Jan 1, 2007
Rachel Ketterman Individual Corporate OfficerTreasurer Jan 1, 2026
Raymond Hull Individual Corporate OfficerImmediate Past Chair Jan 1, 2026
Denise Taylor Individual Corporate DirectorBoard Member Jan 1, 2026
Brian McLaughlin Individual Corporate OfficerBoard Member Jan 1, 2026
Pat Baumgarner Individual Corporate DirectorBoard Member Jan 1, 2012
Jamie Haney Individual Corporate DirectorBoard Member Jan 1, 2026
Jenna Wonner Individual Corporate OfficerCoo Nov 27, 2017
W-2 Managing EmployeeCoo Nov 27, 2017
Operational/Managerial ControlCoo Nov 27, 2017
Zeb Locklear Individual Corporate DirectorBoard Member Jan 1, 2005
Alice Williams Individual Corporate DirectorBoard Member Jan 1, 2026
Thomas E Andrews Individual Corporate OfficerCeo Jul 1, 2017
W-2 Managing EmployeeCeo Jul 1, 2017
Operational/Managerial ControlCeo Jul 1, 2017
Brian Zeverl Individual Corporate DirectorBoard Member Jun 1, 2014

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Caa Health, Behavioral Health and Dental Center @ Melhourn, SalinevillSalineville, OH, CCN 361010 Federally qualified health center Operational/Managerial Control Jan 1, 1984

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1821041401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 LINCOLE PL",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328322",
            "telephone_number": "330-424-5686",
            "fax_number": "330-424-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 LINCOLE PL",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328322",
            "telephone_number": "330-424-5686",
            "fax_number": "330-424-4012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38722 SALTWELL RD",
            "address_purpose": "LOCATION",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328303",
            "country_code": "US",
            "telephone_number": "330-424-4192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "WONNER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "330-424-7221"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0968663",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAA Health Center at Lisbon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CAA Health and Behavioral Health at Lisbon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lisbon Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lisbon, OH

Sources for this page

Verify at the official NPI Registry.