NPIMap

Organization Active NPI

Human Development and Counseling Assoc Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Canton, OH
National Provider Identifier
1962536854
Registry record updated Nov 28, 2007
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
HUMAN DEVELOPMENT AND COUNSELING ASSOC INC
Practice address
4792 Munson St NW
Munson Professional Centre
Canton, OH 44718-3630
Phone
(330) 494-4636
Fax
(330) 494-5861
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Mr. William E Mohler, M.A.
Title
Secretary,Treasurer
Phone
(330) 494-4636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4792 Munson St NW
Munson Professional Centre
Canton, OH 44718-3630

Mailing address

4792 Munson St NW
Munson Professional Centre
Canton, OH 44718-3630
Phone (330) 494-4636

Other identifiers 1

IdentifierTypeStateIssuer
0824362MedicaidOH

National Provider Directory

National Provider Directory

Locations

4792 Munson St NW
Canton, OH 44718
Phone (330) 494-4636

Practitioners & affiliated clinicians

Practitioners 10

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1962536854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4792 MUNSON ST NW",
            "address_2": "MUNSON PROFESSIONAL CENTRE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183630",
            "telephone_number": "330-494-4636",
            "fax_number": "330-494-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4792 MUNSON ST NW",
            "address_2": "MUNSON PROFESSIONAL CENTRE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183630",
            "telephone_number": "330-494-4636",
            "fax_number": "330-494-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN DEVELOPMENT AND COUNSELING ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "MOHLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SECRETARY,TREASURER",
        "authorized_official_telephone_number": "330-494-4636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0824362",
            "state": "OH"
        }
    ],
    "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 Nov 28, 2007; 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.