Organization Active NPI

Zak Nordyke Holistic Fitness

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1376169490
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ZAK NORDYKE HOLISTIC FITNESS
Practice address
5880 Winton Ridge LN
Cincinnati, OH 45232-1121
Phone
(513) 276-9238
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Zachary W NordykeNPI 1669005286
Title
Board Member
Phone
(513) 623-8422

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

5880 Winton Ridge LN
Cincinnati, OH 45232-1121

Mailing address

5880 Winton Ridge LN
Cincinnati, OH 45232-1121
Phone (513) 276-9238

Other names 1

  • Evergreen Holistic Learning Center Doing business as

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": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1376169490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 WINTON RIDGE LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321121",
            "telephone_number": "513-276-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 WINTON RIDGE LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321121",
            "telephone_number": "513-276-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAK NORDYKE HOLISTIC FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "NORDYKE",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "513-623-8422"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Holistic Learning Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 24, 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.