Amazing Grace Counseling and Addiction Services LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

AMAZING GRACE COUNSELING AND ADDICTION SERVICES LLC

Practice address

5670 Winneste Ave
Cincinnati, OH 45232-1270

Phone

(513) 884-0917

Fax

(513) 880-0519

NPI assigned

Jan 16, 2025

Organization subpart

No

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

Authorized official

Name

Deondra Mills

Title

Ceo

Phone

(513) 884-0917

Specialties & licenses 4

Addresses

Other names 1

• Amazing Grace Counseling And Addiction Services Former legal business name

Tax ID family

Amazing Grace Counseling and Addiction Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Amazing Grace Counseling and Addiction Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1871354928
  NPD tax ID

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1205647385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 WINNESTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321270",
            "telephone_number": "513-884-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 WINNESTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321270",
            "telephone_number": "513-884-0917",
            "fax_number": "513-880-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE COUNSELING AND ADDICTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "DEONDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-884-0917"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazing Grace Counseling And Addiction Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kekeli Diane Ominira Amara, PA-C
• Ella Jay Amaral Lavoie, MA
• Steven Amatangelo, MD
• Aakeela Amatullahsalaam-Salaam
• Paola Marcela Amaya de Lopez, MD
• Amazing Grace Counseling and Addiction Services LLC
• Amazing Grace Residencial Services LLC
• Ambalika Care, LLC
• Alexis Renee Amberger
• Ambition Homecare LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.