Active NPI
Mental Health Healing Place LLC
- Adult Mental Health Clinic/Center
- Centerville, OH
National Provider Identifier
1154144335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- MENTAL HEALTH HEALING PLACE LLC
- Practice address
- 6838 Loop Rd
Centerville, OH 45459-2159 - Phone
- (937) 270-3411
- NPI assigned
- Nov 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia Sue Baker, LISW-S
- Title
- Owner/Office Manager
- Phone
- (937) 270-3411
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
6838 Loop Rd
Centerville, OH 45459-2159
Mailing address
6838 Loop Rd
Centerville, OH 45459-2159
Phone (937) 270-3411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6838 Loop Rd
Dayton, OH 45459
Phone (937) 270-3411
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Dayton, OH
- NPI 1386146819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736208000000",
"number": "1154144335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6838 LOOP RD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454592159",
"telephone_number": "937-270-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6838 LOOP RD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454592159",
"telephone_number": "937-270-3411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL HEALTH HEALING PLACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-05",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
"authorized_official_telephone_number": "937-270-3411",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LISW-S"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.