1. Home
  2. Directory
  3. Ohio
  4. Marion
  5. Clinic Center
  6. NPI Profile

THIRD STREET COMMUNITY CLINIC INC
NPI 1861170565
Clinic/Center - Federally Qualified Health Center (FQHC) in Marion, OH

Active since July 11, 2023
320 EXECUTIVE DR, MARION, OH 43302(419) 522-6191 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 19, 2026, Feb 6, 2024, Jul 11, 2023 (3 updates tracked since 2023).

About Third Street Community Clinic Inc NPPES

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

THIRD STREET COMMUNITY CLINIC INC (NPI 1861170565), doing business as Community Counseling & Wellness Centers-marion, is a healthcare organization registered as a federally qualified health center (fqhc) in Marion, Ohio and active in the NPI registry since July 2023. The organization lists Peggy Anderson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861170565
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHIRD STREET COMMUNITY CLINIC INC
Location Address320 EXECUTIVE DRMarion, OH 43302-6310
Mailing Address1404 Park Ave W, Suite 2Mansfield, OH 44906-2633 · (419) 522-6191
Phone(419) 522-6191
Organization SubpartNo
Authorized OfficialPeggy AndersonCeo · (419) 526-7880
Enumeration DateJuly 11, 2023
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1861170565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
320 EXECUTIVE DR, Marion, OH 43302
Open in Google Maps ↗

Other Names 1

Doing Business AsCommunity Counseling & Wellness Centers-marion

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare.Insurance ›

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.

BRITTANY JONES
Counselor (Addiction (Substance Use Disorder))
320 EXECUTIVE DR
MARION, OH 43302
Marion County (740) 387-5210
MS. BRENDA L ARMSTRONG
Community Health Worker
320 EXECUTIVE DR
MARION, OH 43302
Marion County (740) 387-5210
MARION AREA COUNSELING CENTER, INC.
Substance Abuse Rehabilitation Facility
320 EXECUTIVE DR
MARION, OH 43302
Marion County (740) 387-5210
DEVINA D BIALECKI
Community Health Worker
320 EXECUTIVE DR
MARION, OH 43302
Marion County (740) 387-5210
MR. NATHAN KYLE HAYNES
Community Health Worker
320 EXECUTIVE DR
MARION, OH 43302
Marion County (740) 387-5210
SHANE STEVENS
Community Health Worker
320 EXECUTIVE DR
MARION, OH 43302
Marion County (740) 387-5210
LEM REYNOLDS
Community Health Worker
320 EXECUTIVE DR
MARION, OH 43302
Marion County (740) 387-5210
SAGE ROBERT HOMZA
Case Manager/Care Coordinator
320 EXECUTIVE DR
MARION, OH 43302
Marion County (740) 387-5210

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 Third Street Community Clinic Inc's NPI number?

The NPI number for Third Street Community Clinic Inc is 1861170565. It was assigned to this organization in the NPPES registry on July 11, 2023. The provider is doing business as Community Counseling & Wellness Centers-Marion.

Where is Third Street Community Clinic Inc located?

Third Street Community Clinic Inc is located at 320 Executive Dr, Marion, OH 43302. The listed phone number is (419) 522-6191.

What is Third Street Community Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Third Street Community Clinic Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Third Street Community Clinic 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 Third Street Community Clinic Inc was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.