Organization Active NPI

Triune Community Treatment Services

  • Community/Behavioral Health Agency
  • Canton, OH
National Provider Identifier
1932913183
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRIUNE COMMUNITY TREATMENT SERVICES
Practice address
4414 22ND St NW
Canton, OH 44708-1574
Phone
(234) 214-0258
Fax
(234) 214-0290
NPI assigned
Feb 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Derrick Jenkins, LCDC III
Title
Ceo
Phone
(234) 214-0258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4414 22ND St NW
Canton, OH 44708-1574

Mailing address

4414 22ND St NW
Canton, OH 44708-1574
Phone (234) 214-0258

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2341910Triune Community Treatment Services4414 22ND St NW, Canton, OH 44708Certificate of waiverApr 9, 2028

National Provider Directory

National Provider Directory

Locations

4414 22nd St NW
Canton, OH 44708
Phone (234) 214-0258

Practitioners & affiliated clinicians

Practitioners 2

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": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1932913183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 22ND ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081574",
            "telephone_number": "234-214-0258",
            "fax_number": "234-214-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 22ND ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081574",
            "telephone_number": "234-214-0258",
            "fax_number": "234-214-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUNE COMMUNITY TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "234-214-0258",
        "authorized_official_credential": "LCDC III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.