Organization Active NPI

Community Mental Health Center of Clinton County

Doing business as Mhrccc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lebanon, OH
National Provider Identifier
1891761250
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
266 Issued in OH
Legal business name
COMMUNITY MENTAL HEALTH CENTER OF CLINTON COUNTY
Doing business as
Mhrccc
Practice address
975 Fujitec BLDG a
Suite 1
Lebanon, OH 45036
Phone
(513) 228-7800
Fax
(513) 228-7848
NPI assigned
Feb 27, 2006
Last updated
Oct 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Brad McMonigle, PCC
Title
Executive Director
Phone
(513) 228-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 266 OH Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 83613 OH

Addresses

Primary practice location

975 Fujitec BLDG a
Suite 1
Lebanon, OH 45036

Mailing address

975 Fujitec BLDG a
Suite 1
Lebanon, OH 45036
Phone (513) 228-7800

Other identifiers 1

IdentifierTypeStateIssuer
2473998MedicaidOH

Other names 1

  • MHRCCC Doing business as

National Provider Directory

National Provider Directory

Locations

1216 W Locust St
Wilmington, OH 45177
Phone (937) 383-4441

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1891761250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 FUJITEC BLDG A",
            "address_2": "SUITE 1",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "45036",
            "telephone_number": "513-228-7800",
            "fax_number": "513-228-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 FUJITEC BLDG A",
            "address_2": "SUITE 1",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "45036",
            "telephone_number": "513-228-7800",
            "fax_number": "513-228-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MENTAL HEALTH CENTER OF CLINTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "MCMONIGLE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "513-228-7800",
        "authorized_official_credential": "PCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "266",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OH",
            "license": "83613",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2473998",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHRCCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.