# COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720029622
- **Authorized official:** MR. PAUL SAMUEL BOLINO M.S,ED.,LPCC-S, CDCA (CEO)
- **Authorized official phone:** (440) 998-4210

## Contact information

- **Practice address:** 2801 C CT, ASHTABULA, OH 44004-4577
- **Practice address phone:** (440) 998-4210
- **Practice address fax:** (440) 998-2247
- **Mailing address:** 2801 'C' COURT, ASHTABULA, OH 44004
- **Mailing address phone:** (440) 998-4210
- **Mailing address fax:** (440) 998-2247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 0166 | OH | — |
| 261QM0850X | Adult Mental Health Clinic/Center | 0166 | OH | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 0166 | OH | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 06/01/2026