Mantra Mental Health, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MANTRA MENTAL HEALTH, LLC

Practice address

4041 N High St Ste 300H
Columbus, OH 43214-3200

Phone

(614) 984-4394

NPI assigned

Feb 6, 2020

Organization subpart

No

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

Authorized official

Name

Samantha BergsteinNPI 1417463183

Title

Ceo

Phone

(740) 707-4488

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

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

• Samantha Lee Bergstein, LISW-S

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1417463183
  Medicare reassignment Authorized official
• Victoria Alexander, LISW-S

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1073016390
  Medicare reassignment
• Alison McGucken, LISW

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1235896168
  Medicare reassignment
• Janice B George, L.I.S.W.

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1568561009
  NPD (past)

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1285266445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 N HIGH ST STE 300H",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143200",
            "telephone_number": "614-984-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N HIGH ST STE 300H",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143200",
            "telephone_number": "614-984-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTRA MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "BERGSTEIN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-707-4488"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0413879",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1473276",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0472290",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0264054",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268947",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jihad A Mansur Sr.
• Erica Jane Kelly Mantell, MD
• Mackenzie Mantenieks
• Hillari Manter, RN, MSN, CNL
• Gina K Mantor, M.D.
• Manuel Family Practice,LLC
• Brenda Renee Manuel, RN
• Carolyn Manuel
• Evelyn Christina Manuel, INDEPENDENT PROVIDER
• Katherine Manupipatpong, M.D.

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.