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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SQUARE ONE HEALTH LLC
NPI 1326717190
Community/Behavioral Health in Ashtabula, OH

Active since September 07, 2021CLIA 36D2277175 · Waiver
3418 LAKE AVE, ASHTABULA, OH 44004(440) 650-5030 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2026, Sep 7, 2021 (2 updates tracked since 2021).

About Square One Health Llc NPPES

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

SQUARE ONE HEALTH LLC (NPI 1326717190) is a healthcare organization registered as a community/behavioral health in Ashtabula, Ohio and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Britney Ray, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1326717190
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSQUARE ONE HEALTH LLC
Location Address3418 LAKE AVEAshtabula, OH 44004-5763
Mailing Address3418 Lake AveAshtabula, OH 44004-5763 · (440) 650-5030
Phone(440) 650-5030
Organization SubpartNo
Authorized OfficialBritney RayExecutive Director · (702) 559-4664
Enumeration DateSeptember 7, 2021
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1326717190 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.
3418 LAKE AVE, Ashtabula, OH 44004
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CLIA Laboratory Certificates CMS CLIA

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 36D2277175

Square One Health, LLC · Ashtabula, OH
Active · expires Feb 21, 2027
CLIA Number36D2277175
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorKristy L. Hosken
Laboratory Phone(440) 650-5030
Laboratory LocationSquare One Health, LLC3225 Lake Avenue, Ashtabula, OH 44004
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT CRIBBS
Case Manager/Care Coordinator
3418 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 650-5030
BARBARA SISSON RN
Registered Nurse
3418 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 650-5030
KYLE HARLEY
Case Manager/Care Coordinator
3418 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 650-5030
CHRISTINA CICON
Registered Nurse
3418 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 650-5030
JARED WALKER
Case Manager/Care Coordinator
3418 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 650-5030
CHRISTOPHER COPE
Counselor (Addiction (Substance Use Disorder))
3418 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 650-5030
HAILEY MACK
Case Manager/Care Coordinator
3418 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 650-5030
CARLEN PITTMAN CDCA
Counselor (Addiction (Substance Use Disorder))
3418 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 650-5030

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 Square One Health LLC's NPI number?

The NPI number for Square One Health LLC is 1326717190. It was assigned to this organization in the NPPES registry on September 7, 2021.

Where is Square One Health LLC located?

Square One Health LLC is located at 3418 Lake Ave, Ashtabula, OH 44004. The listed phone number is (440) 650-5030.

What is Square One Health LLC's specialty?

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

Does Square One Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2277175) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Square One Health LLC was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.