Organization Active NPI

Mahogany Restorative Counseling, LLC

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1255059051
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MAHOGANY RESTORATIVE COUNSELING, LLC
Practice address
2303 Meadow Village Dr
Columbus, OH 43235-4913
Phone
(980) 200-5978
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Keyasia Downs, MSW, LISWNPI 1053921361
Title
Owner/Operatior
Phone
(980) 200-5978

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2303 Meadow Village Dr
Columbus, OH 43235-4913

Mailing address

470 W Broad St # 1155
Columbus, OH 43215-2759
Phone (614) 992-3525

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1255059051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 W BROAD ST # 1155",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432152759",
            "telephone_number": "614-992-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 MEADOW VILLAGE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354913",
            "telephone_number": "980-200-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHOGANY RESTORATIVE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "KEYASIA",
        "authorized_official_title_or_position": "OWNER/OPERATIOR",
        "authorized_official_telephone_number": "980-200-5978",
        "authorized_official_credential": "MSW, LISW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, 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 Aug 17, 2022; 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.