Organization Active NPI

Center for Greater Healing LLC

  • Mental Health Counselor
  • Toledo, OH
National Provider Identifier
1114789906
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CENTER FOR GREATER HEALING LLC
Practice address
3232 Central Park Dr W Ste C
Toledo, OH 43617-3011
Phone
(419) 740-0402
Fax
(567) 232-9178
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Kurt Landis, LISWNPI 1497250997
Title
Owner
Phone
(567) 694-4679

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3232 Central Park Dr W Ste C
Toledo, OH 43617-3011

Mailing address

3232 Central Park Dr W Ste C
Toledo, OH 43617-3011
Phone (419) 740-0402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240415003036 OH Part B Supplier - Clinic/Group Practice 5294174942 Receives reassigned benefits from 5 practitioners
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

3232 Central Park W
Ste C
Toledo, OH 43617
Phone (419) 318-2268

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1114789906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 CENTRAL PARK DR W STE C",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436173011",
            "telephone_number": "419-740-0402",
            "fax_number": "567-232-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 CENTRAL PARK DR W STE C",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436173011",
            "telephone_number": "419-740-0402",
            "fax_number": "567-232-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR GREATER HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "LANDIS",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "567-694-4679",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.