Organization Active NPI

Keys to Success Treatment Center

  • Adolescent and Children Mental Health Clinic/Center
  • Columbus, OH
National Provider Identifier
1225809635
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
KEYS TO SUCCESS TREATMENT CENTER
Practice address
5776 Mouzon Dr.
Columbus, OH 43232
Phone
(614) 507-5908
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Keeyanna Crockett
Title
Owner
Phone
(614) 507-5908

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

5776 Mouzon Dr.
Columbus, OH 43232

Mailing address

PO Box 360782
Columbus, OH 43236-0782

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1225809635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360782",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432360782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5776 MOUZON DR.",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43232",
            "telephone_number": "614-507-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS TO SUCCESS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-12-04",
        "certification_date": "2024-01-13",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "KEEYANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-507-5908"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.