NPIMap

Fresh Start Behavioral Health Inc

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Dayton, OH

NPI 1093350951 · NPPES record last updated Jun 27, 2025

Key facts

NPI
1093350951
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
FRESH START BEHAVIORAL HEALTH INC
Practice address
6929 N Main St
Dayton, OH 45415-2563
Phone
(614) 364-0429
NPI assigned
Nov 14, 2019
Organization subpart
No

Authorized official

Name
Ebenezer Aluma NPI 1649668427
Title
Agent
Phone
(614) 364-0429

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210610000906 OH Part B Supplier - Clinic/Group Practice 4981004132 Receives reassigned benefits from 13 practitioners
Practice locations: Dayton, OH; Milford, OH

National Provider Directory

Locations

7030 N Main St
Dayton, OH 45415
Phone (937) 247-9102

732 Lila Ave
Milford, OH 45150
Phone (513) 201-5440

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

6929 N Main St
Dayton, OH 45415-2563

Mailing address

6929 N Main St
Dayton, OH 45415-2563
Phone (614) 364-0429

Other practice location 1

8015 N Main St
Dayton, OH 45415-2250
Phone (937) 247-9102

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 27, 2025.

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1093350951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152563",
            "telephone_number": "614-364-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152563",
            "telephone_number": "614-364-0429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8015 N Main St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454152250",
            "country_code": "US",
            "telephone_number": "937-247-9102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRESH START BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "ALUMA",
        "authorized_official_first_name": "EBENEZER",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "614-364-0429"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

All providers in Dayton, OH · Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

Sources for this page

Verify at the official NPI Registry.