COMMUNITY BEHAVIORAL HEALTH, INC. (NPI# 1134365745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134365745 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BEHAVIORAL HEALTH, INC. |
| Other Organization Name | COMMUNITY BEHAVIORAL HEALTH, INC. |
| Practice Address |
820 S Martin Luther King Jr Blvd Hamilton OH 45011-3216 |
| Mailing Address |
820 S. Martin Luther King, Jr. Blvd Hamilton OH 45011-3216 |
| Practice Telephone | 5138878500 |
| Practice Fax Number | 5137378196 |
| Mailing Telephone | 5138878500 |
| Mailing Fax Number | 5137378196 |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | MARK ZOELLNER (CFO) |
| Authorized Official Telephone | 5137854742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | 02-13115000 | OH | Suppliers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10993 | OH | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0481 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CROSSOVER | 2846611 | 01 |
| Other Name | Type Code |
|---|---|
| Community Behavioral Health, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780184762 | Community Behavioral Health, Inc. | Counselor | 7900 Cox Rd, West Chester, OH 45069-2402 | 2018-02-16 |
| 1861579930 | Community Behavioral Health, Inc. | Counselor | 1659 S Breiel Blvd, Middletown, OH 45044-6705 | 2006-11-01 |
| 1750348579 | Community Behavioral Health, Inc. | Counselor | 820 S Martin Luther King Jr Blvd, Hamilton, OH 45011-3216 | 2006-04-26 |
| 1164922977 | Community Behavioral Health, Inc. | Counselor | 442 S 2nd St, Hamilton, OH 45011-2936 | 2018-02-19 |
| 1700386513 | Community Behavioral Health, Inc. | Counselor | 442 S 2nd St, Hamilton, OH 45011-2936 | 2018-02-19 |
| 1740780543 | Community Behavioral Health, Inc. | Counselor | 1659 S Breiel Blvd, Middletown, OH 45044-6705 | 2018-02-19 |
| 1548292469 | Community Behavioral Health, Inc. | Case Management | 820 S Martin Luther King Jr Blvd, Hamilton, OH 45011-3216 | 2006-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY BEHAVIORAL HEALTH, INC. | 824 S Martin Luther King Jr Blvd, Hamilton, OH 45011-3216 |
| Street Address |
820 S MARTIN LUTHER KING JR BLVD |
| City | HAMILTON |
| State | OH |
| Zip Code | 45011-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750348579 | Community Behavioral Health, Inc. | Counselor | 820 S Martin Luther King Jr Blvd, Hamilton, OH 45011-3216 | 2006-04-26 |
| 1346854551 | Teresa Lasheyl Betiku | Case Manager/Care Coordinator | 820 S Martin Luther King Jr Blvd, Hamilton, OH 45011-3216 | 2020-09-04 |
| 1023621562 | Melissa Lynd Deters | Counselor | 820 S Martin Luther King Jr Blvd, Hamilton, OH 45011-3216 | 2020-08-25 |
| 1891303046 | Elizabeth Fox | Registered Nurse | 820 S Martin Luther King Jr Blvd, Hamilton, OH 45011-3216 | 2020-07-14 |
| 1144848847 | Robert L Tucker Jr. | Counselor | 820 S Martin Luther King Jr Blvd, Hamilton, OH 45011-3216 | 2020-07-09 |
| 1386284529 | Melinda Ditmer | Counselor | 820 S Martin Luther King Jr Blvd, Hamilton, OH 45011-3216 | 2020-01-15 |
| 1346880911 | Tracy Renee Bradley | Case Manager/Care Coordinator | 820 S Martin Luther King Jr Blvd, Hamilton, OH 45011-3216 | 2020-01-13 |
| 1144879776 | Karen Klein | Counselor | 820 S Martin Luther King Jr Blvd, Hamilton, OH 45011-3216 | 2019-09-06 |
| 1588211643 | Erin Ackerman | Nurse Practitioner | 820 S Martin Luther King Jr Blvd, Hamilton, OH 45011-3216 | 2019-08-23 |
| 1821650193 | Lejeana Maridecarol Miller | Registered Nurse | 820 S Martin Luther King Jr Blvd, Hamilton, OH 45011-3216 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702000 | Trisha Sue Allen | Case Manager/Care Coordinator | Sojourner Recovery Services, 515 Dayton Street, Hamilton, OH 45011 | 2020-08-27 |
| 1235755158 | Toika Thompson | Community Health Worker | 614 S 4th St, Hamilton, OH 45011 | 2020-06-17 |
| 1912477589 | Bernice Lorene Garrison | Registered Nurse | 621 S. Erie Boulevard, Hamilton, OH 45011 | 2018-11-27 |
| 1811465040 | Delanie Darcelle Kidd | Counselor | 515 High Street, Hamilton, OH 45011 | 2018-11-06 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1912485863 | Heavens Quest LLC | Home Health | 415 North Erie Blvd, Hamilton, OH 45011 | 2018-08-02 |
| 1326532748 | Margaret Phillips | Nurse Practitioner | 5290 Poets Way, Liberty Twp, OH 45011 | 2018-06-19 |
| 1891284386 | Myles Evan Silas | Counselor | 1210 N W Washington Blvd #4, Hamilton, OH 45011 | 2018-05-09 |
| 1295223436 | Taylor Guecking | Counselor | 621 South Erie Highway, Hamilton, OH 45011 | 2018-04-24 |
| 1790282069 | Leroy Thomas Brown | Counselor | 621 South Erie Blvd, Hamilton, OH 45011 | 2018-04-12 |
| Find all providers in zip 45011 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789611 | Early Childhood Counseling Services LLC | Counselor | 3208 Robina Ln, Hamilton, OH 45013-8679 | 2019-03-14 |
| 1497210645 | Karen Ann Hollstein | Counselor | 1490 University Blvd Ste A, Hamilton, OH 45011-3306 | 2019-02-01 |
| 1881179349 | Nicole Olivia Jennings | Counselor | 1225-1255 Whitehorse Mercerville Rd, Building B Suite 504, Hamilton, NJ 08619 | 2018-10-01 |
| 1235651209 | Monica Quaste Counseling Services, LLC | Counselor | 74 Van Sant Dr, Hamilton, NJ 08690-2518 | 2017-07-12 |
| 1811434921 | Lauren E Tropiano | Counselor | 3535 Quakerbridge Road, Suite 300, Hamilton, NJ 08619 | 2017-01-26 |
| 1255874293 | Lorraine Santos-anaya | Counselor | 1255 Whitehorse Mercerville Rd Ste 504, Hamilton, NJ 08619-3800 | 2016-11-23 |
| 1275994741 | Deanna Bond | Counselor | 426 Sante Fe Court, Hamilton, NJ 08619 | 2016-03-11 |
| 1659745081 | George Stephens | Counselor | 1406 S 1st St, Hamilton, MT 59840-3350 | 2015-11-23 |
| 1992108930 | Joan Theresa Buckley | Counselor | 6 Switlik Rd, Hamilton, NJ 08690-1810 | 2014-10-05 |
| 1326457185 | Jennifer Lynn Wilson | Counselor | 3101dixie Hwy, Hamilton, OH 45015 | 2014-08-06 |
| Find all providers in HAMILTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.