ABRAXAS COUNSELING CENTER – NPI #1134385669
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

ABRAXAS COUNSELING CENTER is a substance abuse rehabilitation facility located in SHELBY, OH. NPPES has assigned the NPI number 1134385669 to ABRAXAS COUNSELING CENTER on August 04, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ABRAXAS COUNSELING CENTER” is a dba name, the actual legal business name for this organization is CORNELL ABRAXAS GROUP, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was previously updated about 4 years ago on Jun 13, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABRAXAS COUNSELING CENTER below.

NPI Profile for
CORNELL ABRAXAS GROUP, LLC

NPI Number
1134385669
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORNELL ABRAXAS GROUP, LLC
Doing Business As (dba): ABRAXAS COUNSELING CENTER
Primary location
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone: (419) 347-3322 Fax: (419) 747-0067
Mailing address
Same as primary location
Organization Subpart
Yes - ABRAXAS COUNSELING CENTER is subpart of another organization.
Authorized Official
JULIA VOGT
BUSINESS MANAGER
Phone: (419) 747-0881
Updated
Certification Date
Jun 13, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ABRAXAS COUNSELING CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH0063924
MEDICAIDOH2876928
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)
320800000X
- Community Based Residential Treatment Facility, Mental Illness		 OH 0680

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.