Active NPI
Keys to Success Treatment Center
- Adolescent and Children Mental Health Clinic/Center
- Columbus, OH
National Provider Identifier
1225809635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.