Provider Demographics
NPI:1427338599
Name:JIM MCGAHA & ASSOCIATES,INC.
Entity type:Organization
Organization Name:JIM MCGAHA & ASSOCIATES,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCGAHA
Authorized Official - Suffix:
Authorized Official - Credentials:LPPC-S LICDC
Authorized Official - Phone:330-744-2468
Mailing Address - Street 1:1601 MOTOR INN DR STE 110
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-2481
Mailing Address - Country:US
Mailing Address - Phone:330-744-2468
Mailing Address - Fax:330-744-2586
Practice Address - Street 1:1601 MOTOR INN DR STE 110
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-2481
Practice Address - Country:US
Practice Address - Phone:330-744-2468
Practice Address - Fax:330-744-2586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC-0501116101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1073061271OtherNPI GROUP
OH1609906551OtherNPI INDIVIDUAL
OHC-0501116OtherOHIO FAMILY & MARIAGE COUNSELOR BOARD
OH0186634Medicaid
OHE0002477-SUPVOtherLICENSE PROFESSIONAL CLINCIAL COUNSELOR
OH933533OtherLPCDC-CS