CLINIC SECURITY AND LOGISTICS, INC.
NPI 1225745284
Community/Behavioral Health in Dayton, OH

Active since October 31, 2022CLIA Certified · 2 labs
4977 NORTHCUTT PL, DAYTON, OH 45414(937) 387-6395 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2025, Oct 31, 2022 (2 updates tracked since 2022).

About Clinic Security And Logistics, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINIC SECURITY AND LOGISTICS, INC. (NPI 1225745284) is a healthcare organization registered as a community/behavioral health in Dayton, Ohio and active in the NPI registry since October 2022. The organization holds 2 active CLIA laboratory certificates and lists Karen Crane-jackson, Compliance Director, as its authorized official.

NPPES Registry Identity

NPI1225745284
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCLINIC SECURITY AND LOGISTICS, INC.
Location Address4977 NORTHCUTT PLDayton, OH 45414-3839
Mailing Address6788 Loop RdDayton, OH 45459-2161 · (800) 829-5461
Organization SubpartNo
Authorized OfficialKaren Crane-jacksonCompliance Director · (800) 829-5461
Enumeration DateOctober 31, 2022
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1225745284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4977 NORTHCUTT PL, Dayton, OH 45414

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinic Security And Logistics, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Clinic Security And Logistics, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mental Health Counselor
NPI 1487148276
4977 NORTHCUTT PL
Dayton, OH 45414
(937) 387-6395
✔ PECOSSame address
Nurse Practitioner
NPI 1124441605
3000 FAIRMONT BLVD
Knoxville, TN 37917
(865) 621-0085
✔ PECOS263 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2334973

Clinic Security & Logistics, Inc Dba Full Circle Recovery Services · Chillicothe, OH
Active · expires Dec 3, 2027
CLIA Number36D2334973
Laboratory TypeBehavioral Health
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorDr. Richard Nockowitz
Laboratory Phone(800) 829-5461
Laboratory LocationClinic Security & Logistics, Inc Dba Full Circle Recovery Services2530 Western Ave, Suite C, Chillicothe, OH 45601
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2289277

Clinic Security & Logistics, Inc Dba Full Circle Recovery Services · Dayton, OH
Active · expires Sep 6, 2027
CLIA Number36D2289277
Laboratory TypeBehavioral Health
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorRichard Nockowitz
Laboratory Phone(937) 387-6395
Laboratory LocationClinic Security & Logistics, Inc Dba Full Circle Recovery Services109 White Allen Avenue, Dayton, OH 45405
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinic Security And Logistics, Inc.'s NPI number?

The NPI number for Clinic Security And Logistics, Inc. is 1225745284. It was assigned to this organization in the NPPES registry on October 31, 2022.

Where is Clinic Security And Logistics, Inc. located?

Clinic Security And Logistics, Inc. is located at 4977 Northcutt Pl, Dayton, OH 45414. The listed phone number is (937) 387-6395.

What is Clinic Security And Logistics, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Clinic Security And Logistics, Inc. enrolled in Medicare?

Yes. Clinic Security And Logistics, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinic Security And Logistics, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Clinic Security And Logistics, Inc., in Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clinic Security And Logistics, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Clinic Security And Logistics, Inc. accept?

Health plans from Molina Healthcare list Clinic Security And Logistics, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinic Security And Logistics, Inc. was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.