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COMMUNITY COUNSELING SERVICES INC. NPI 1669448544


NPI Information

NPI: 1669448544
Provider Name: COMMUNITY COUNSELING SERVICES, INC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 36D1018568

Address:
2458 STETZER RD
BUCYRUS, OH
ZIP 44820
Phone: (419) 562-2000
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COMMUNITY COUNSELING SERVICES, INC. is a clinic center in Bucyrus, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COMMUNITY COUNSELING SERVICES, INC. NPI is 1669448544. The provider is registered as an organization entity type.

The provider's business location address is:

2458 STETZER RD
BUCYRUS, OH
ZIP 44820-066
Phone: (419) 562-2000

The provider's authorized official is Paul E Sipes .
The authorized official title is Controller and has the following contact phone number (419) 562-2000.

The CLIA number assigned to this NPI record is 36D1018568 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/28/2006 and was last updated on 2/26/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)0177OHIONo
2261QM0850XClinic/CenterAdult Mental Health0177OHIONo
3261QM0855XClinic/CenterAdolescent and Children Mental Health0177OHIONo
4261Q00000XClinic/Center1057OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11057OTHEROHIOODADAS CERTIFICATE NUMBER
22444653MEDICAIDOHIO
30177OTHEROHIOODMH CERTIFICATE NUMBER
49220681MEDICARE ID-TYPE UNSPECIFIEDOHIOMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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