Organization Active NPI

Kudose Mental Health LLC

  • Psychiatry Physician
  • West Chester, OH
National Provider Identifier
1205640380
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
KUDOSE MENTAL HEALTH LLC
Practice address
8945 Brookside Ave Ste 202
West Chester, OH 45069-7123
Phone
(513) 914-3673
NPI assigned
Feb 6, 2025
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Elizabeth Fox, APRN, PMHNP-BCNPI 1891303046
Title
Owner
Phone
(513) 310-2342

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

8945 Brookside Ave Ste 202
West Chester, OH 45069-7123

Mailing address

8945 Brookside Ave Ste 202
West Chester, OH 45069-7123
Phone (513) 914-3673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250401001986 OH Part B Supplier - Clinic/Group Practice 4981127842 Receives reassigned benefits from 4 practitioners
Practice locations: West Chester, OH

National Provider Directory

National Provider Directory

Locations

8945 Brookside Ave
Ste 202
West Chester, OH 45069
Phone (513) 914-3673

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1205640380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 BROOKSIDE AVE STE 202",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697123",
            "telephone_number": "513-914-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 BROOKSIDE AVE STE 202",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697123",
            "telephone_number": "513-914-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUDOSE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-310-2342",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.