Larue Psychiatric Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10483 Issued in OH

Legal business name

LARUE PSYCHIATRIC SERVICES LLC

Doing business as

Keystone

Practice address

4449 Easton Way Ste 200
Columbus, OH 43219-7005

Phone

(614) 208-4973

Fax

(888) 858-4293

NPI assigned

Mar 21, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Khalilah Krystal Larue, C.N.P.NPI 1255578548

Title

Certfied Nurse Practitioner

Phone

(614) 668-2149

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Keystone Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khalilah Krystal Larue, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1255578548
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1396276432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 EASTON WAY STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432197005",
            "telephone_number": "614-208-4973",
            "fax_number": "888-858-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 EASTON WAY STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432197005",
            "telephone_number": "614-208-4973",
            "fax_number": "888-858-4293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6073 Homewell St",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430267199",
            "country_code": "US",
            "telephone_number": "614-668-2149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 Sugarloaf Club Dr",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "30097",
            "country_code": "US",
            "telephone_number": "614-668-2149",
            "fax_number": "888-858-4293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 S 3rd St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43215",
            "country_code": "US",
            "telephone_number": "614-208-4973",
            "fax_number": "888-858-4293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Peachtree St NE Ste 570",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30308",
            "country_code": "US",
            "telephone_number": "614-208-4973",
            "fax_number": "888-858-4293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 E Broad St Ste 112B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432153800",
            "country_code": "US",
            "telephone_number": "614-208-4293",
            "fax_number": "888-858-4293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3252 Pomarine Ln",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300924919",
            "country_code": "US",
            "telephone_number": "614-208-4973",
            "fax_number": "888-858-4293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LARUE PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2025-09-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "LARUE",
        "authorized_official_first_name": "KHALILAH",
        "authorized_official_middle_name": "KRYSTAL",
        "authorized_official_title_or_position": "CERTFIED NURSE PRACTITIONER",
        "authorized_official_telephone_number": "614-668-2149",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.N.P."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "10483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076744",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003260122B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amalia Larsen
• Peter Eric Larsen, DDS
• Abby M Larson
• Emily Anne Larson, BA
• Lesa Larson, LPN
• Katlin Larue
• Khalilah Krystal Larue, CNP
• Hallie Loree Lash, HHA
• Katerick Lash
• Michelle Lash, M.D.

• Community/Behavioral Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.