NPIMap

Organization Active NPI

Fresh Start Behavioral Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
National Provider Identifier
1093350951
Registry record updated Jun 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
FRESH START BEHAVIORAL HEALTH INC
Practice address
6929 N Main St
Dayton, OH 45415-2563
Phone
(614) 364-0429
NPI assigned
Nov 14, 2019
Last updated
Jun 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

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

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 2

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

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

Medicare participation

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

Enrollment records 1

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

National Provider Directory

Locations

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

1909 S Alex Rd
West Carrollton, OH 45449
Phone (614) 364-0429

Ownership & related parties

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 & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.