Organization Active NPI

Jmac Counseling Services

  • Community/Behavioral Health Agency
  • Beavercreek, OH
National Provider Identifier
1972793552
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
E2785 Issued in OH
Legal business name
JMAC COUNSELING SERVICES
Practice address
1374 N Fairfield Rd
Suite B
Beavercreek, OH 45432-2676
Phone
(937) 427-9151
Fax
(937) 429-9942
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Jerry William McCluer, P.C.C.
Title
Owner/Director
Phone
(937) 427-9151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X E2785 OH Primary

Addresses

Primary practice location

1374 N Fairfield Rd
Suite B
Beavercreek, OH 45432-2676

Mailing address

1374 N Fairfield Rd
Suite B
Beavercreek, OH 45432-2676
Phone (937) 427-9151

National Provider Directory

National Provider Directory

Locations

1374 N Fairfield Rd
Ste B
Beavercreek, OH 45432
Phone (937) 427-9151

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1972793552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 N FAIRFIELD RD",
            "address_2": "SUITE B",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322676",
            "telephone_number": "937-427-9151",
            "fax_number": "937-429-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 N FAIRFIELD RD",
            "address_2": "SUITE B",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322676",
            "telephone_number": "937-427-9151",
            "fax_number": "937-429-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMAC COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "MCCLUER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "937-427-9151",
        "authorized_official_credential": "P.C.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "E2785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.