Organization Active NPI

Poppy's Therapeutic Corner

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
National Provider Identifier
1043791379
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
POPPY'S THERAPEUTIC CORNER
Practice address
415 Glensprings Dr Ste 301
Cincinnati, OH 45246-2354
Phone
(513) 570-4068
NPI assigned
Aug 24, 2018
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Jennifer M Sheard
Title
Owner
Phone
(513) 570-4068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

415 Glensprings Dr Ste 301
Cincinnati, OH 45246-2354

Mailing address

415 Glensprings Dr Ste 301
Cincinnati, OH 45246-2354

Other practice location 1

2639 Georgetowne Dr
Highland, IN 46322-3425
Phone (513) 570-4068

Other practice location 2

3654 E Bay St
Duluth, GA 30096-6366
Phone (513) 570-4068

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL poppystherapeuticcorner.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250228000999 OH Part B Supplier - Clinic/Group Practice 6103346564 Receives reassigned benefits from 1 practitioner
Practice locations: Springdale, OH

National Provider Directory

National Provider Directory
Tax ID family
Poppy's Therapeutic Corner3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1043791379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GLENSPRINGS DR STE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 GLENSPRINGS DR STE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462354",
            "telephone_number": "513-570-4068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2639 Georgetowne Dr",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463223425",
            "country_code": "US",
            "telephone_number": "513-570-4068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3654 E Bay St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300966366",
            "country_code": "US",
            "telephone_number": "513-570-4068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POPPY'S THERAPEUTIC CORNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "SHEARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-570-4068"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "poppystherapeuticcorner.com",
            "affiliation": "N",
            "address_1": "891 W North Bend Rd",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452241340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Feb 27, 2025; 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.