Life Anew Behavioral Health, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE ANEW BEHAVIORAL HEALTH, INC

Practice address

27801 Euclid Ave Ste 300
Euclid, OH 44132-3547

Phone

(216) 417-1007

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Richard Cash Sr.NPI 1154880292

Title

Vice President

Phone

(216) 417-1007

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

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

• Tristan Reed, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Akron, OH
  • NPI 1942657945
  Medicare reassignment NPD
• Cerina Nicole Woodall, MSW,LISW

  • Clinical Social Worker
  • Wickliffe, OH
  • NPI 1801381264

  Mental Health

  Medicare reassignment NPD
• Richard Cash

  • Case Manager/Care Coordinator
  • Cleveland, OH
  • NPI 1154880292
  NPD Authorized official
• Christopher L Henderson, MPA

  • Case Manager/Care Coordinator
  • Cleveland, OH
  • NPI 1366093189
  NPD

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1407474208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVE STE 300",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323547",
            "telephone_number": "216-417-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVE STE 300",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323547",
            "telephone_number": "216-417-1007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Noble Ave",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443202950",
            "country_code": "US",
            "telephone_number": "216-387-6388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE ANEW BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "CASH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "216-417-1007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@lifeanewbh.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "27801 Euclid Ave Ste 300",
            "city": "Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441323547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Douglas Lewis
• Rickey Lewis
• Sameerah Yasmeena Lewis
• Jane Elizabeth Li-Conrad, D.O.
• Life Anew Behavioral Health Services Inc
• Life Anew Home Health
• Life Change Institute
• Life Changing Care LLC
• Life Changing Care LLC
• Life Quest Medical Supply Inc

• Community/Behavioral Health Agency in Euclid, OH
• Providers in Euclid, 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 Mar 15, 2023; 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.