CMS-1500 Box 24J / 33a • NPI
1184824344
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
106H00000X (CMS E1)
Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist
Box 32 Service Location & ZIP+4
670 BROADWAY AVE, BEDFORD, OH, 44146-3642
✓ 9-Digit EDI 837 ZIP+4 (44146-3642)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1184824344 (BE HEALED FAMILY OUTREACH) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1184824344 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BE HEALED FAMILY OUTREACH |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist NUCC Code: 106H00000X (Marriage & Family Therapist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 670 BROADWAY AVE, BEDFORD, OH, 44146-3642 |
| Practice Telephone / Fax | Tel: (440) 439-9250 | Fax: (216) 641-7330 |
| Administrative Mailing Address | 670 BROADWAY AVE, BEDFORD, OH, 44146-3642 |
| Enumeration & Last Sync | Enumerated: 2007-07-24 | CMS Record Updated: 2007-07-24 |
| Authorized Official | MIN. JEROME RIVERS (Executive Director) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (106H00000X)
What Does Taxonomy Code 106H00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 106H00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BE HEALED FAMILY OUTREACH)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101YA0400X — Counselor, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) | State: OH | License: 011102 | Primary: Secondary |
101YP1600X — Counselor, PastoralPlain English: Licensed & Credentialed Counselor, Pastoral | State: OH | License: E4292 | Primary: Secondary |
101YP2500X — Counselor, ProfessionalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: OH | License: E4292 | Primary: Secondary |
106H00000X — Marriage & Family TherapistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist | State: OH | License: F120 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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