Active NPI
Triune Community Treatment Services
- Community/Behavioral Health Agency
- Canton, OH
National Provider Identifier
1932913183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2341910 | Triune Community Treatment Services | Certificate of waiver | Apr 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Case Manager/Care Coordinator
- Canton, OH
- NPI 1902796295
-
- Addiction (Substance Use Disorder) Counselor
- Canton, OH
- NPI 1881408136
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.