Individual provider Active NPI

Mehkye Assyrian Givens, NMD, LEHP, SMN, OLO

  • Family Medicine Physician
  • Massillon, OH
National Provider Identifier
1164182689
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P202306080001 Issued in ZZ
Practice address
519 5TH St SW
Massillon, OH 44647-6519
Phone
(330) 222-3200
Fax
(326) 888-7957
NPI assigned
Dec 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Nutritionist 133N00000X
Health & Wellness Coach 171400000X
Homeopath 175L00000X
Doula 374J00000X
Naturopath 175F00000X
Family Medicine Physician 207Q00000X P202306080001 ZZ Primary

Addresses

Primary practice location

519 5TH St SW
Massillon, OH 44647-6519

Mailing address

850 Twin Rivers Dr Unit 1930
Columbus, OH 43216-8065
Phone (330) 222-3200

Other identifiers 1

IdentifierTypeStateIssuer
P202306080001OtherCOMPLEMENTARY MEDICAL ASSOCIATION MEMBERSHIP NUMBER

Other names 1

  • Dr. Selah Asherah Givens Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P202306080001ZZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Darkheart Apocathery Naturopath CurrentSince Feb 27, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1164182689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TWIN RIVERS DR UNIT 1930",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432168065",
            "telephone_number": "330-222-3200",
            "fax_number": "326-888-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 5TH ST SW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476519",
            "telephone_number": "330-222-3200",
            "fax_number": "326-888-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "MEHKYE",
        "middle_name": "ASSYRIAN",
        "name_prefix": "Dr.",
        "credential": "NMD, LEHP, SMN, OLO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ZZ",
            "license": "P202306080001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPLEMENTARY MEDICAL ASSOCIATION MEMBERSHIP NUMBER",
            "identifier": "P202306080001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELAH",
            "last_name": "GIVENS",
            "middle_name": "ASHERAH",
            "prefix": "DR.",
            "credential": "NMD, LEHP, SMN, OLO,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.