Organization Active NPI

Prime Mental Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marysville, OH
National Provider Identifier
1194528091
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PRIME MENTAL HEALTH AND WELLNESS LLC
Practice address
211 Stocksdale Dr
Marysville, OH 43040-5507
Phone
(380) 285-1288
Fax
(937) 806-4104
NPI assigned
Mar 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Matthew Hauenstein, DNP, APRN, PMHNP-BCNPI 1437629839
Title
Psychiatric Mental Health NP
Phone
(380) 285-1288

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

211 Stocksdale Dr
Marysville, OH 43040-5507

Mailing address

16685 Raintree Dr
Marysville, OH 43040-7062
Phone (380) 285-1288

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1194528091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16685 RAINTREE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407062",
            "telephone_number": "380-285-1288",
            "fax_number": "937-806-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 STOCKSDALE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405507",
            "telephone_number": "380-285-1288",
            "fax_number": "937-806-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MENTAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "HAUENSTEIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NP",
        "authorized_official_telephone_number": "380-285-1288",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.