MARYHAVEN INC. (NPI# 1245290436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245290436 |
| Entity Type | Organization |
| Organization Name | MARYHAVEN INC. |
| Practice Address |
1791 Alum Creek Dr Columbus OH 43207-1708 |
| Practice Telephone | 6143245402 |
| Practice Fax Number | 6148278380 |
| Mailing Telephone | 6143245402 |
| Mailing Fax Number | 6148278380 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2017-10-11 |
| Authorized Official Name | MR. GREGORY MICHAEL RITTER (BILLING/MEDICAL RECORDS ADMINISTRAT) |
| Authorized Official Telephone | 6143245402 |
| Authorized Official Credential | LPCC, LICDC-CS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1183 | OH | Ambulatory Health Care Facilities |
| Y | 251S00000X | Community/Behavioral Health | 1183 | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2846951 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922368166 | Maryhaven Inc. | Substance Abuse Rehabilitation Facility | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2012-05-22 |
| Street Address |
1791 ALUM CREEK DR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43207-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111605 | Melinda Swank | Social Worker | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2020-10-15 |
| 1154937225 | Victoria Rose George | Social Worker | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2020-09-23 |
| 1023624616 | Annis Spence | Case Manager/Care Coordinator | 1791 Alum Creek Dr, Columbus, OH 43207-1757 | 2020-09-18 |
| 1639781131 | Ann Christine Redman | Social Worker | 1791 Alum Creek Dr, Columbus, OH 43207-1757 | 2020-08-18 |
| 1073121174 | Gram Christian Royal | Counselor | 1791 Alum Creek Dr, Columbus, OH 43207-1757 | 2020-07-15 |
| 1376161893 | Patrick Mensah | Registered Nurse | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2020-07-10 |
| 1306463369 | Allison Skinner | Social Worker | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2020-06-25 |
| 1659997369 | Caileigh Chadwick | Social Worker | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2020-06-18 |
| 1689295313 | Melanie Jayne Barnes | Case Manager/Care Coordinator | 1791 Alum Creek Dr, Columbus, OH 43207-1757 | 2020-05-05 |
| 1790319622 | Shalom Moriah Marlowe Rodgers | Counselor | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2020-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947913 | Mary Elise Hanks | Internal Medicine | Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 | 2018-03-27 |
| 1699279323 | Timothy Ming-li Pian | Internal Medicine | Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 | 2018-03-19 |
| 1093245763 | Royce Scott | Home Health | 254 E. Barthman Ave, Columbus, OH 43207 | 2017-06-15 |
| 1497207930 | Vernon C Murphy Jr. | Counselor | 1430 S High St Suite 112, Columbus, OH 43207 | 2016-11-01 |
| 1669825931 | Ayamba Roselyn Tanyi | Social Worker | 1791 Alum Creek Drive, Columbus, OH 43207 | 2016-07-21 |
| 1629421268 | Tiffany Dawn Hinkle | Counselor | 1430 S. High St, Suite 112, Columbus, OH 43207 | 2016-07-19 |
| 1457714933 | Matthew Isaac Lyons | Internal Medicine | 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2016-04-01 |
| 1053712976 | A Plus Children's Academy Community School | Local Education Agency (LEA) | 110 Obetz Rd., Columbus, OH 43207 | 2014-09-10 |
| 1407274301 | William Hamilton Marshall V | Student in an Organized Health Care Education/Training Program | 1405 South High St, South High Primary Care Center, Columbus, OH 43207 | 2014-03-29 |
| 1912249665 | Laura Romcevich | Internal Medicine | 700 Children's Dr. Ed650a, Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2013-03-20 |
| Find all providers in zip 43207 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473529 | Susan M Baker, Lcsw Inc | Community/Behavioral Health | 404 Washington St Ste 201-2, Columbus, IN 47201-6791 | 2020-10-04 |
| 1336753466 | Push for Recovery, LLC | Community/Behavioral Health | 3880 Clime Road, Building 2/suite A, Columbus, OH 43228-3532 | 2020-09-05 |
| 1518576693 | Unit Seven LLC | Community/Behavioral Health | 1743 Lonsdale Rd Apt C, Columbus, OH 43232-2892 | 2020-07-24 |
| 1508481037 | Basecamp Recovery LLC | Community/Behavioral Health | 815 W Broad St Fl 2, Columbus, OH 43222-1464 | 2020-06-10 |
| 1760003420 | Community Alliance for Youth and Adults LLC | Community/Behavioral Health | 2550 Chestnut Oak Way, Columbus, OH 43228-9169 | 2020-05-04 |
| 1659834489 | Transcendent Case Management & Consulting, LLC | Community/Behavioral Health | 3587 Medina Ave, Columbus, OH 43224-3418 | 2019-04-09 |
| 1639634629 | Mind Over Matter Counseling | Community/Behavioral Health | 92 Northwoods Blvd Ste C1, Columbus, OH 43235-4720 | 2019-02-05 |
| 1902360225 | Kara Lynn Mccoy | Community/Behavioral Health | 4289 Highway 78, Columbus, MT 59019-7493 | 2019-01-31 |
| 1891278321 | Everlasting Peace Counseling and Support Services | Community/Behavioral Health | 2210 Wynnton Rd Ste 206, Columbus, GA 31906-5820 | 2018-09-11 |
| 1124517081 | Sunny Watford | Community/Behavioral Health | 2525 Tiller Lane, Ste 110, Columbus, OH 43231 | 2018-05-07 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.