Organization Active NPI

Living Health Integrative Psych, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blacklick, OH
National Provider Identifier
1336062629
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIVING HEALTH INTEGRATIVE PSYCH, LLC
Practice address
145 Reynoldsburg New Albany Rd # 300
Blacklick, OH 43004-3608
Phone
(614) 842-2871
Fax
(321) 204-6942
NPI assigned
Aug 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Felisa Northern, DNP, FNP-C, PMHNP-BC
Title
Managing Member
Phone
(614) 482-2871

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

145 Reynoldsburg New Albany Rd # 300
Blacklick, OH 43004-3608

Mailing address

145 Reynoldsburg New Albany Rd # 300
Blacklick, OH 43004-3608
Phone (614) 842-2871

National Provider Directory

National Provider Directory

Locations

145 Reynoldsburg New Albany Rd
#300
Blacklick, OH 43004

NPI Registry JSON

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1336062629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 REYNOLDSBURG NEW ALBANY RD # 300",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430043608",
            "telephone_number": "614-842-2871",
            "fax_number": "321-204-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 REYNOLDSBURG NEW ALBANY RD # 300",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430043608",
            "telephone_number": "614-842-2871",
            "fax_number": "321-204-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HEALTH INTEGRATIVE PSYCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "NORTHERN",
        "authorized_official_first_name": "FELISA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "614-482-2871",
        "authorized_official_credential": "DNP, FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacklick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.