Individual provider Active NPI

Amanda Grace Criswell-Zenni, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleves, OH
National Provider Identifier
1265300800
Registry record updated May 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0040607 Issued in OH
Practice address
650 N Miami Ave
Cleves, OH 45002-9627
Phone
(513) 498-3236
NPI assigned
Oct 27, 2025
Last updated
May 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0040607 OH Primary

Addresses

Primary practice location

650 N Miami Ave
Cleves, OH 45002-9627

Mailing address

650 N Miami Ave
Cleves, OH 45002-9627
Phone (513) 452-6771

Other names 1

  • Mrs. Mimi Zenni Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 8, 2026 through Jun 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0040607OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Psychiatry Psychiatric/Mental Health CurrentSince Nov 8, 2025 Accepting new patients

Locations

650 N Miami Ave
Cleves, OH 45002
Phone (513) 498-3236

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778371200000",
    "number": "1265300800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N MIAMI AVE",
            "city": "CLEVES",
            "state": "OH",
            "postal_code": "450029627",
            "telephone_number": "513-452-6771",
            "fax_number": "650-912-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N MIAMI AVE",
            "city": "CLEVES",
            "state": "OH",
            "postal_code": "450029627",
            "telephone_number": "513-498-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISWELL-ZENNI",
        "first_name": "AMANDA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2026-05-10",
        "certification_date": "2026-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0040607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIMI",
            "last_name": "ZENNI",
            "prefix": "MRS.",
            "credential": "APRN, PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cleves, OH

Sources for this page

Verify at the official NPI Registry.