Individual provider Active NPI

Mary Ruth Leyendecker, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1417322397
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.18443 Issued in OH
Practice address
1910 Fairgrove Ave
Hamilton, OH 45011-1930
Phone
(513) 868-0055
NPI assigned
Dec 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.18443-NP OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.18443 OH Primary

Addresses

Primary practice location

1910 Fairgrove Ave
Hamilton, OH 45011-1930

Mailing address

1910 Fairgrove Ave
Hamilton, OH 45011-1930
Phone (513) 868-0055

Other practice location 1

1215 1st Ave
Middletown, OH 45044-4117
Phone (513) 849-2081

Other names 1

  • Miss Mary Ruth Forbis Professional name

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
I20160119000664 OH Practitioner - Nurse Practitioner 3173826559 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
First Step Recovery CenterGroup PAC ID 3375823115, 10 clinicians
Modern Psychiatry and Wellness LLCGroup PAC ID 6608029962, 23 clinicians
Goodwill Easter Seals Miami ValleyGroup PAC ID 1951650944, 2 clinicians

Practice addresses (Care Compare)

1649 Brice Rd
Suite C
Reynoldsburg, OH 43068-2796
Phone (614) 300-5878

1910 Fairgrove Ave
Suite E
Hamilton, OH 45011-1930
Phone (513) 795-7557

660 S Main St
Dayton, OH 45402-2708
Phone (937) 528-6327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.18443-NPOHMDFamily Nurse Practitioner
APRN.CNP.18443OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Freya Enterprise LLC CurrentSince Jul 18, 2022 Accepting new patients
First Step Recovery Center CurrentSince Jul 1, 2019 Accepting new patients
Modern Psychiatry & Wellness, LLC CurrentSince Nov 1, 2020 Accepting new patients
Goodwill Easter Seals Miami Valley CurrentSince Jul 5, 2018 Accepting new patients
Woodstream Wellness Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Freya Enterprise LLC CurrentSince Jul 18, 2022 Accepting new patients
Pax Treatment Centers LLC CurrentSince Feb 17, 2020 Accepting new patients
WS Wellness LLC Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Modern Psychiatry and Wellness LLC CurrentSince Aug 1, 2020 Accepting new patients
First Step Recovery Center CurrentSince Jul 1, 2019 Accepting new patients
Community Mental Heatlh Centers of Warren County, Inc. PastSince Jan 4, 2016 Accepting new patients
First Step Recovery Center Past Accepting new patients

Locations

1911 Old Fairfield Rd
Ste 310
Beavercreek, OH 45432
Phone (937) 759-0545

813 Bryden Rd
Columbus, OH 43205
Phone (614) 392-7253

660 S Main St
Dayton, OH 45402
Phone (937) 461-4800

241 Paddock Ct
Delaware, OH 43015
Phone (740) 362-8686

1910 Fairgrove Ave
Ste E
Hamilton, OH 45011
Phone (513) 299-4025

2628 Kull Rd
Lancaster, OH 43130
Phone (614) 300-1878

245 Saint James St
Marion, OH 43302
Phone (740) 341-2067

1271 Crescent Heights Rd
Ste 200
Marion, OH 43302
Phone (614) 808-3192

9049 Springboro Pike
Miamisburg, OH 45342
Phone (937) 759-0545

4302 Roosevelt Blvd
Middletown, OH 45044
Phone (513) 433-1032

1215 1st Ave
Middletown, OH 45044
Phone (513) 849-2081

1653 Brice Rd
Reynoldsburg, OH 43068
Phone (614) 300-5878

1649 Brice Rd
Ste C
Reynoldsburg, OH 43068
Phone (614) 300-5878

1563 Brice Rd
Reynoldsburg, OH 43068

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/gesmv/r4/
  • FHIR API: https://api.platform.athenahealth.com/5507/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.qualifacts.org/api/fhir/mpwhealth/r4/

Organizations & group practices 12

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": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1417322397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 FAIRGROVE AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450111930",
            "telephone_number": "513-868-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 FAIRGROVE AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450111930",
            "telephone_number": "513-868-0055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450444117",
            "country_code": "US",
            "telephone_number": "513-849-2081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEYENDECKER",
        "first_name": "MARY",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18443-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.18443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FORBIS",
            "middle_name": "RUTH",
            "prefix": "MISS",
            "credential": "PMHNP, FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.