Active NPI
Concord Therapy Solutions LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Concord Township, OH
National Provider Identifier
1932965969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CONCORD THERAPY SOLUTIONS LLC
- Doing business as
- Concord Therapy Solutions
- Practice address
- 9853 Johnnycake Ridge Rd Ste 202
Concord Township, OH 44060-6792 - Phone
- (440) 226-0189
- NPI assigned
- Feb 27, 2024
- 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. Jeffrey Jack, M.A., LPCC
- Title
- Owner
- Phone
- (440) 226-0189
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
9853 Johnnycake Ridge Rd Ste 202
Concord Township, OH 44060-6792
Mailing address
9853 Johnnycake Ridge Rd Ste 202
Concord Township, OH 44060-6792
Phone (440) 226-0189
Other names 1
- Concord Therapy Solutions
National Provider Directory
National Provider DirectoryLocations
9853 Johnnycake Ridge Rd
Ste 202
Concord Township, OH 44060
Phone (440) 226-0189
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Cleveland, OH
- NPI 1346754124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708992000000",
"number": "1932965969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9853 JOHNNYCAKE RIDGE RD STE 202",
"city": "CONCORD TOWNSHIP",
"state": "OH",
"postal_code": "440606792",
"telephone_number": "440-226-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9853 JOHNNYCAKE RIDGE RD STE 202",
"city": "CONCORD TOWNSHIP",
"state": "OH",
"postal_code": "440606792",
"telephone_number": "440-226-0189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCORD THERAPY SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-27",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A",
"authorized_official_last_name": "JACK",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-226-0189",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.A., LPCC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Concord Therapy Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Concord Township, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.