Organization Active NPI

Healing Spirits Therapeutic Village LLC

  • Mental Health Counselor
  • Whitehall, OH
National Provider Identifier
1316559008
Registry record updated Aug 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEALING SPIRITS THERAPEUTIC VILLAGE LLC
Practice address
911 Robinwood Ave Ste D
Whitehall, OH 43213-1783
Phone
(614) 805-0930
NPI assigned
Aug 23, 2020
Last updated
Aug 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2020

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

Authorized official

Name
Michelle Johnson
Title
Biller
Phone
(419) 689-6495

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

911 Robinwood Ave Ste D
Whitehall, OH 43213-1783

Mailing address

911 Robinwood Ave Ste D
Whitehall, OH 43213-1783

National Provider Directory

National Provider Directory

Locations

911 Robinwood Ave
Ste D
Whitehall, OH 43213
Phone (614) 805-0930

Practitioners & affiliated clinicians

Practitioners 1

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": "1598140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598140800000",
    "number": "1316559008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 ROBINWOOD AVE STE D",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432131783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 ROBINWOOD AVE STE D",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432131783",
            "telephone_number": "614-805-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SPIRITS THERAPEUTIC VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "419-689-6495"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.