Active NPI
Benhaven Counseling 2, LLC
- Clinical Social Worker
- Brecksville, OH
National Provider Identifier
1871039818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BENHAVEN COUNSELING 2, LLC
- Practice address
- 8227 Brecksville Rd
Suite 104
Brecksville, OH 44141-1370 - Phone
- (440) 526-0468
- Fax
- (440) 526-0454
- NPI assigned
- Jan 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald Joseph Hupp Jr., MSSA, LISW-S
- Title
- Owner
- Phone
- (440) 526-0468
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Licensed Practical Nurse | 164W00000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Addiction Psychiatry Physician | 2084P0802X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
8227 Brecksville Rd
Suite 104
Brecksville, OH 44141-1370
Mailing address
8227 Brecksville Rd
Suite 104
Brecksville, OH 44141-1370
Phone (440) 526-0468
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484438400000",
"number": "1871039818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8227 BRECKSVILLE RD",
"address_2": "SUITE 104",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441411370",
"telephone_number": "440-526-0468",
"fax_number": "440-526-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8227 BRECKSVILLE RD",
"address_2": "SUITE 104",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441411370",
"telephone_number": "440-526-0468",
"fax_number": "440-526-0454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENHAVEN COUNSELING 2, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-15",
"last_updated": "2017-01-15",
"status": "A",
"authorized_official_last_name": "HUPP",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-526-0468",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MSSA, LISW-S"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brecksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.