Organization Active NPI

Mode Behavioral Therapy, LLC

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1356955710
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MODE BEHAVIORAL THERAPY, LLC
Practice address
1329 E Kemper Rd Ste 4220a
Cincinnati, OH 45246-5100
Phone
(513) 970-9522
Fax
(513) 436-0687
NPI assigned
Sep 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Lisa Zito, LISW-S, CDCANPI 1033503628
Title
Owner
Phone
(513) 970-9522

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1329 E Kemper Rd Ste 4220a
Cincinnati, OH 45246-5100

Mailing address

1329 E Kemper Rd Ste 4220a
Springdale, OH 45246-5100
Phone (513) 970-9522

Other names 1

  • Soapy Psychology, LLC Former legal business name

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": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1356955710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 E KEMPER RD STE 4220A",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452465100",
            "telephone_number": "513-970-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 E KEMPER RD STE 4220A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452465100",
            "telephone_number": "513-970-9522",
            "fax_number": "513-436-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODE BEHAVIORAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "ZITO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-970-9522",
        "authorized_official_credential": "LISW-S, CDCA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soapy Psychology, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.