Individual provider Active NPI

Constance Hartgrove

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1407307473
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
020170 Issued in OH
Practice address
21 E State St Ste 200
Columbus, OH 43215-0109
Phone
(614) 379-2368
Fax
(614) 829-3033
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 020170 OH Primary
Primary Care Nurse Practitioner 363LP2300X 020170 OH

Addresses

Primary practice location

21 E State St Ste 200
Columbus, OH 43215-0109

Mailing address

21 E State St Ste 200
Columbus, OH 43215-0109
Phone (614) 379-2368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161205001232 OH Practitioner - Nurse Practitioner 5890075071 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Innovations IncGroup PAC ID 1456500628, 54 clinicians

Practice addresses (Care Compare)

465 Harmon Ave
Columbus, OH 43223-2403
Phone (614) 222-3737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020170OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hart Soul & Mind Healthcare, LLC Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Recovery Innovations, Inc CurrentSince Mar 2, 2025 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Feb 14, 2023 Accepting new patients
Recovery Innovations, Inc. CurrentSince Mar 2, 2025 Accepting new patients
Spero Health of Ohio, LLC CurrentSince Apr 23, 2023 Accepting new patients
Recovery Innovations, Inc Family Current Accepting new patients
National Youth Advocate Program, Inc CurrentSince Feb 14, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Feb 28, 2025 Accepting new patients

Locations

2701 N 16th St
Ste 316
Phoenix, AZ 85006

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1493 S Arlington St
Akron, OH 44306
Phone (234) 274-5827

42 N Plaza Blvd
Ste C
Chillicothe, OH 45601
Phone (740) 851-5381

1801 Watermark Dr
Ste 200
Columbus, OH 43215

199 S Central Ave
Columbus, OH 43223
Phone (614) 274-9500

527 S High St
Columbus, OH 43215
Phone (614) 227-9444

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

4770 Indianola Ave
Ste 101
Columbus, OH 43214
Phone (614) 636-1722

4300 Clime Rd
Ste 130
Columbus, OH 43228
Phone (614) 363-4489

21 E State St
Ste 200
Columbus, OH 43215
Phone (203) 568-6065

465 Harmon Ave
Columbus, OH 43223
Phone (614) 222-3737

59 Grant St
Newark, OH 43055
Phone (740) 349-7511

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1407307473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E STATE ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432150109",
            "telephone_number": "614-379-2368",
            "fax_number": "614-829-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E STATE ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432150109",
            "telephone_number": "614-379-2368",
            "fax_number": "614-829-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTGROVE",
        "first_name": "CONSTANCE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "020170",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "020170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.