Organization Active NPI

Bhealthy for Life, LLC

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1376285080
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BHEALTHY FOR LIFE, LLC
Practice address
31 Sherman Ave
Columbus, OH 43205-1421
Phone
(614) 352-6807
Fax
(833) 463-1803
NPI assigned
Apr 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Ms. Virginia Irene Clagg, LISW-S, LICDC
Title
Ceo
Phone
(614) 352-6807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

31 Sherman Ave
Columbus, OH 43205-1421

Mailing address

31 Sherman Ave
Columbus, OH 43205-1421
Phone (614) 352-6807

Other identifiers 1

IdentifierTypeStateIssuer
0335849MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Bhealthy for Life2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1397 Worthington Centre Dr
Worthington, OH 43085
Phone (614) 352-6807

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1376285080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SHERMAN AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051421",
            "telephone_number": "614-352-6807",
            "fax_number": "833-463-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SHERMAN AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051421",
            "telephone_number": "614-352-6807",
            "fax_number": "833-463-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHEALTHY FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "CLAGG",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-352-6807",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-S, LICDC"
    },
    "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": "0335849",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.