COMMUNITY MENTAL HEALTH CENTER OF CLINTON COUNTY (NPI# 1891761250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891761250 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MENTAL HEALTH CENTER OF CLINTON COUNTY |
| Other Organization Name | MHRCCC |
| Practice Address |
975 Fujitec Bldg A Suite 1 Lebanon OH 45036 |
| Practice Telephone | 5132287800 |
| Practice Fax Number | 5132287848 |
| Mailing Telephone | 5132287800 |
| Mailing Fax Number | 5132287848 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2010-10-29 |
| Authorized Official Name | BRAD MCMONIGLE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5132287800 |
| Authorized Official Credential | PCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
83613 | OH | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
266 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2473998 | 05 |
| Other Name | Type Code |
|---|---|
| MHRCCC | Doing Business As Name - Organization |
| Street Address |
975 FUJITEC BLDG A SUITE 1 |
| City | LEBANON |
| State | OH |
| Zip Code | 45036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588122121 | Dr. Yesenia Colon Rivera, Psychological Services LLC | Clinic/Center | 701 Cumberland St Ste 205, Lebanon, PA 17042-5231 | 2019-03-02 |
| 1972772770 | Community Mental Health Centers of Warren County, Inc. | Clinic/Center | 975 Fujitec Dr Bldg A, Lebanon, OH 45036-8336 | 2008-02-26 |
| 1174635684 | West Central Services, Inc. | Clinic/Center | 9 Hanover Street, Suite 2, Lebanon, NH 03766 | 2006-08-31 |
| 1740278381 | Community Mental Health Centers of Warren County, Inc | Clinic/Center | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2005-10-07 |
| 1669474979 | Pennsylvania Counseling Services Inc. | Clinic/Center | 200 N 7th St, Lebanon, PA 17046-5040 | 2005-06-01 |
| 1831731470 | Sherri Freas LLC | Clinic/Center | 101 Cedar St, Lebanon, PA 17042-9776 | 2019-10-15 |
| 1326535790 | Recovery Defined, LLC | Clinic/Center | 777 Columbus Ave Ste 7d, Lebanon, OH 45036-1684 | 2018-04-20 |
| 1841795614 | Better Way Therapy, Pllc | Clinic/Center | 312 W High St, Lebanon, KY 40033-1428 | 2018-03-26 |
| 1225395163 | Community Mental Heatlh Centers of Warren County, Inc. | Clinic/Center | 975 Kingsview Dr Bldg A, Lebanon, OH 45036-9562 | 2012-04-17 |
| 1215162003 | Talbert House, Inc | Clinic/Center | 759 Columbus Ave, Lebanon, OH 45036-1754 | 2009-05-21 |
| Find all providers in LEBANON | ||||
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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.