Individual provider Active NPI

Achaleke Atemnkeng, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1417421629
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP.0033707 Issued in OH
Practice address
6400 E Broad St
Columbus, OH 43213
Phone
(614) 322-9760
Fax
(614) 441-4556
NPI assigned
Jan 22, 2019
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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 CNP.0033707 OH Primary
Registered Nurse 163W00000X RN.457145 OH

Addresses

Primary practice location

6400 E Broad St
Columbus, OH 43213

Mailing address

2200 W Broad St
Columbus, OH 43223-1297
Phone (614) 752-0333

Other practice location 1

1301 N High St
Columbus, OH 43201
Phone (614) 299-6600

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
I20241206003094 OH Practitioner - Nurse Practitioner 5799134797 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.457145OHMDRegistered Nurse
CNP.0033707OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Group Home, LLC CurrentSince Oct 9, 2025 Accepting new patients
All Hope Behavioral Healthcare LLP Psychiatric/Mental Health CurrentSince Sep 22, 2024 Accepting new patients
Phoenix Group Home, LLC CurrentSince Oct 9, 2025 Accepting new patients
Access Behavioral LLC PastSince Apr 30, 2023 Accepting new patients

Locations

306 W Union St
Athens, OH 45701
Phone (740) 764-4529

5900 Roche Dr
Ste 600E
Columbus, OH 43229
Phone (561) 714-7432

117 W Main St
Ste 107
Lancaster, OH 43130
Phone (740) 689-1890

31500 Chieftain Dr
Apt A
Logan, OH 43138

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

151 S Kennebec Ave
McConnelsville, OH 43756
Phone (740) 525-3350

122 W Broadway St
New Lexington, OH 43764
Phone (740) 753-4949

122 W Broadway St
Ste A
New Lexington, OH 43764
Phone (740) 960-0380

49 Johnson Rd
The Plains, OH 45780
Phone (740) 764-4529

379 Adair Ave
Zanesville, OH 43701
Phone (740) 297-6019

Interoperability endpoints

  • Direct secure messaging: allhopebehavioralhealthcare.achalekezatemnkeng@160349.advancedmd-direct.com
  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1417421629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432231297",
            "telephone_number": "614-752-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-322-9760",
            "fax_number": "614-441-4556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43201",
            "country_code": "US",
            "telephone_number": "614-299-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATEMNKENG",
        "first_name": "ACHALEKE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "CNP.0033707",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.457145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.