NPIMap

Organization Active NPI

Mfriedman MHC LLC

Doing business as Clermont Mental Health

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1023590205
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MFRIEDMAN MHC LLC
Doing business as
Clermont Mental Health
Practice address
431 Ohio Pike Ste 214N
Cincinnati, OH 45255-3629
Phone
(513) 655-6911
NPI assigned
Sep 4, 2018
Last updated
Sep 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda Friedman, LPCC-SNPI 1780130997
Title
Owner
Phone
(513) 655-6101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X OH Primary

Addresses

Primary practice location

431 Ohio Pike Ste 214N
Cincinnati, OH 45255-3629

Mailing address

431 Ohio Pike Ste 214N
Cincinnati, OH 45255-3629
Phone (513) 655-6911

Other identifiers 5

IdentifierTypeStateIssuer
1427520287MedicaidOH
1760909642MedicaidOH
1740659820MedicaidOH
1639824402MedicaidOH
1780130997MedicaidOH

Other names 1

  • Clermont Mental Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@clermontmentalhealth.care Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240905000538 OH Part B Supplier - Clinic/Group Practice 5890235899 Receives reassigned benefits from 3 practitioners
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

431 Ohio Pike
Ste 103N
Cincinnati, OH 45255
Phone (513) 655-6911

431 Ohio Pike
Ste 214N
Cincinnati, OH 45255
Phone (513) 655-6101

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1023590205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE STE 214N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553629",
            "telephone_number": "513-655-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE STE 214N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553629",
            "telephone_number": "513-655-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFRIEDMAN MHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-655-6101",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427520287",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760909642",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740659820",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639824402",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780130997",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@clermontmentalhealth.care",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "431 Ohio Pike Ste 214N",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452553629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Clermont Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clermont Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.