NPIMap

Organization Active NPI

Crestview Mental Health of Ohio, LLC

Doing business as Mason Family Counseling

  • Adult Mental Health Clinic/Center
  • Mason, OH
National Provider Identifier
1235850405
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CRESTVIEW MENTAL HEALTH OF OHIO, LLC
Doing business as
Mason Family Counseling
Practice address
5134 Cedar Village Dr
Mason, OH 45040-3717
Phone
(513) 229-7900
NPI assigned
Sep 7, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Brandon Golder
Title
Partner/Ceo
Phone
(719) 717-7113

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

5134 Cedar Village Dr
Mason, OH 45040-3717

Mailing address

5134 Cedar Village Dr
Mason, OH 45040-3717

Other names 1

  • Mason Family Counseling Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address office@MasonFamilyCounseling.com
Direct Messaging Address bgolder@crestviewmh.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231010002184 OH Part B Supplier - Clinic/Group Practice 7315392438 Receives reassigned benefits from 9 practitioners
Practice locations: Mason, OH

National Provider Directory

National Provider Directory

Locations

5633 Tylersville Rd
Ste D
Mason, OH 45040
Phone (513) 229-7900

5633 Tylersville Rd
Unit D3
Mason, OH 45040

Interoperability endpoints

  • Direct secure messaging: office@masonfamilycounseling.com

Practitioners & affiliated clinicians

Practitioners 12

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": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1235850405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5134 CEDAR VILLAGE DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5134 CEDAR VILLAGE DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403717",
            "telephone_number": "513-229-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW MENTAL HEALTH OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "GOLDER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PARTNER/CEO",
        "authorized_official_telephone_number": "719-717-7113"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@MasonFamilyCounseling.com",
            "affiliation": "N",
            "address_1": "5134 Cedar Village Dr",
            "city": "Mason",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450403717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgolder@crestviewmh.com",
            "affiliation": "N",
            "address_1": "5134 Cedar Village Dr",
            "city": "Mason",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450403717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mason Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.