Organization Active NPI

Concord Therapy Solutions LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord Township, OH
National Provider Identifier
1932965969
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Mr. Jeffrey Jack, M.A., LPCCNPI 1346754124
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.