Organization Active NPI

Ohio Behavioral Wellness Agency

  • Community/Behavioral Health Agency
  • Cleveland, OH
National Provider Identifier
1841016722
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OHIO BEHAVIORAL WELLNESS AGENCY
Doing business as
Ohio Behavioral Wellness Agency
Practice address
17325 Euclid Ave
Cleveland, OH 44112-1247
Phone
(216) 798-7177
NPI assigned
Nov 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Jeffrey WardNPI 1013237338
Title
Ceo
Phone
(216) 798-7177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

17325 Euclid Ave
Cleveland, OH 44112-1247

Mailing address

12805 Revere Ave
Cleveland, OH 44105-2959
Phone (216) 798-7177

Other names 1

  • Ohio Behavioral Wellness Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ohio Behavioral Wellness Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1841016722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 REVERE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441052959",
            "telephone_number": "216-798-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121247",
            "telephone_number": "216-798-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO BEHAVIORAL WELLNESS AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-798-7177"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Behavioral Wellness Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ohio Behavioral Wellness Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.