Organization Active NPI

New Leaf Behavioral Health Assoc

  • Community/Behavioral Health Agency
  • Newark, OH
National Provider Identifier
1396587598
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW LEAF BEHAVIORAL HEALTH ASSOC
Practice address
68 W Church St Ste 203
Newark, OH 43055-5050
Phone
(740) 934-6474
Fax
(740) 934-6473
NPI assigned
Jun 10, 2024
Last updated
Nov 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Authorized official

Name
Courtney CollinsNPI 1982256848
Title
Owner
Phone
(740) 934-6474

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

68 W Church St Ste 203
Newark, OH 43055-5050

Mailing address

68 W Church St Ste 203
Newark, OH 43055-5050
Phone (740) 934-6474

Other identifiers 1

IdentifierTypeStateIssuer
01-9033OtherOHOHMAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251217002799 OH Part B Supplier - Clinic/Group Practice 1153816160 Receives reassigned benefits from 2 practitioners
Practice locations: Newark, OH

National Provider Directory

National Provider Directory

Locations

68 W Church St
Ste 203
Newark, OH 43055
Phone (740) 934-6474

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763251200000",
    "number": "1396587598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 W CHURCH ST STE 203",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555050",
            "telephone_number": "740-934-6474",
            "fax_number": "740-934-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 W CHURCH ST STE 203",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555050",
            "telephone_number": "740-934-6474",
            "fax_number": "740-934-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF BEHAVIORAL HEALTH ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-934-6474"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHMAS",
            "identifier": "01-9033",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.